SearchMassachusetts171100000X

Stas Gavronsky, LIC. AC

NPI 1245414929 · on the registry since 2007

Practice

Address
23 Pleasant St
Newton Centre, MA 02459
Phone
(617) 630-8508
Organisation at this address
Brian H. Miller
Newton Center Family Orthodontics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-12-18

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