MEDICARE: BORIS ORKIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	51701	MA

General Provider Information

NPI Number	:	1427039338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BORIS ORKIN M.D.

Provider Business Mailing Address
First Line	:	18 QUEENS CIR
Second Line	:
City	:	SHARON
State	:	MA
Zip	:	02067-2435
Country	:	US
Telephone Number	:	617-277-0090
Fax Number	:	617-277-4535

Provider Business Practice Location Address
First Line	:	1180 BEACON ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-3806
Country	:	US
Telephone Number	:	617-277-0090
Fax Number	:	617-277-4535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	09/10/2007

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Directions to “ BORIS ORKIN M.D.” Practice Location

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