Gorodetsky, Victoria

Gorodetsky, Victoria is an sole proprietor health care provider with primary practice located at 1200 Centre St Department Of Medicine, Boston MA 02131-1011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gorodetsky, Victoria can be contacted via phone (617) 363-8000.

Contact Information

Primary practice address
1200 Centre St Department Of Medicine Boston MA 02131-1011
Phone: (617) 363-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 253142 Massachusetts

Profile Details

NPI number 1346277696
LBN Legal business name Gorodetsky, Victoria
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346277696 NPPES
Massachusetts Other NP5047 BCBSMA

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