Healthcare Provider Details

I. General information

NPI: 1093027062
Provider Name (Legal Business Name): SVETLIN H DINOVSKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2010
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 WALNUT ST STE 201
WELLESLEY MA
02481-2175
US

IV. Provider business mailing address

40 WALNUT ST STE 201
WELLESLEY MA
02481-2175
US

V. Phone/Fax

Practice location:
  • Phone: 781-235-1224
  • Fax: 781-235-4111
Mailing address:
  • Phone: 781-435-1224
  • Fax: 781-435-4111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number245083
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: