Active NPIIndividual provider

Dmitry Elentuck, MD

Radiology, Diagnostic Radiology in Burlington, Massachusetts

NPI Number1336248038
Practice location
Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001
Fax
781-744-5215
Last updated
December 7, 2010

Dmitry Elentuck is a Radiology, Diagnostic Radiology based in Burlington, MA. Dmitry Elentuck practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Dmitry Elentuck is 1336248038 and holds a License No. 216573 (MA). The current practice location address for Dmitry Elentuck is Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-5100 and via fax at 781-744-5215.

Provider Profile Details

NPI Number
1336248038
Provider Name
Dmitry Elentuck
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001
Phone Number
781-744-5100
Fax Number
781-744-5215
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2006
Last Update Date
December 7, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-5100
Fax Number
781-744-5215
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
Lahey Clinic
41 Mall Road
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-5100
Fax Number
781-744-5215

License Information

License Number
216573
License State
MA
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dmitry Elentuck, MD?

The NPI number of Dmitry Elentuck, MD is 1336248038. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dmitry Elentuck, MD?

Dmitry Elentuck, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MA under license number 216573.

Where does Dmitry Elentuck, MD practice?

The practice location is Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001. The office can be reached at 781-744-5100 (phone) or 781-744-5215 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336248038 directly on the NPPES registry website.

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