SearchMassachusetts225700000X

Dmitriy Gervagin, LMT

NPI 1184988156 · on the registry since 2012 · sole proprietor

Practice

Address
44 High St
Newton, MA 02464
Phone
(617) 828-4516
Organisation at this address
Cambridge Health Alliance
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts