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1871013672
VITALIY KOROBKOV
SPRINGFIELD, MA
NPI
1871013672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MA 288275)
Enumeration Date
2017-06-22
Last Update Date
2021-06-03
Business Address
VITALIY KOROBKOV DO
271 CAREW ST
SPRINGFIELD, MA 01104-2377
Phone number: 413-748-9000
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Mailing Address
VITALIY KOROBKOV DO
20 BELMONT ST
WESTFIELD, MA 01085-2324
Phone number: 413-579-1206
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