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Search › Maine › 183500000X

Kirill Goncharov

NPI 1659972529 · on the registry since 2020

Practice

Address
75 Maverick St
Rockland, ME 04841
Phone
(207) 596-6389
Organisation at this address
Mainehealth
Hannaford Bros Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-05

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 Maine