Search › Massachusetts › 171100000X
Konstantin Bazarov
NPI 1538688148 · on the registry since 2017 · sole proprietor
Practice
- Address
- 244 Concord Rd
Wayland, MA 01778 - Phone
- (781) 856-2747
- Fax
- (781) 856-2747
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
- 2022-07-21
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