Healthcare Provider Details

I. General information

NPI: 1295922953
Provider Name (Legal Business Name): BORIS ORKIN,M.D.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 09/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 BEACON STREET
BROOKLINE MA
02446
US

IV. Provider business mailing address

18 QUEENS CIRCLE
SHARON MA
02067
US

V. Phone/Fax

Practice location:
  • Phone: 617-277-0090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: BORIS ORKIN
Title or Position: PRESIDENT
Credential:
Phone: 617-277-0090