=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386437887
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BORIS SOKOLOVSKI M.D
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2025
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | HASHNIYA ST, 8 HAIFA HAALIYA RAMBAM HEALTH CORP. CAMPUS
-----------------------------------------------------
City | HAIFA
-----------------------------------------------------
State | HAFIA
-----------------------------------------------------
Zip | 3109601
-----------------------------------------------------
Country | IL
-----------------------------------------------------
Telephone | 617-667-3524
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | NAHAL DAN 3/14 2173519
-----------------------------------------------------
City | KARMIEL
-----------------------------------------------------
State | NORTH
-----------------------------------------------------
Zip | 2173519
-----------------------------------------------------
Country | IL
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number | 3018068
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------