Samofalov, Yelena

Samofalov, Yelena is an individual health care provider with primary practice located at 100 South St Ste 102 , Southbridge MA 01550-4051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Samofalov, Yelena can be contacted via phone (508) 765-7860.

Contact Information

Primary practice address
100 South St Ste 102 Southbridge MA 01550-4051
Phone: (508) 765-7860
Fax: (508) 765-7861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 223642 Massachusetts

Profile Details

NPI number 1780798686
LBN Legal business name Samofalov, Yelena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 4th, 2019 - about 7 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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