Healthcare Provider Details

I. General information

NPI: 1386437887
Provider Name (Legal Business Name): BORIS SOKOLOVSKI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HASHNIYA ST, 8 HAIFA HAALIYA RAMBAM HEALTH CORP. CAMPUS
HAIFA HAFIA
3109601
IL

IV. Provider business mailing address

NAHAL DAN 3/14 2173519
KARMIEL NORTH
2173519
IL

V. Phone/Fax

Practice location:
  • Phone: 617-667-3524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number3018068
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: