Yelena Samofalov, MD
Pediatrics in Southbridge, Massachusetts
1780798686- Practice location
- 100 South St Ste 102, Southbridge, MA 01550-4051
- Phone
- 508-765-7860
- Fax
- 508-765-7861
- Last updated
- January 4, 2019
Yelena Samofalov is a Pediatrics based in Southbridge, MA. Yelena Samofalov practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Yelena Samofalov is 1780798686 and holds a License No. 223642 (MA). The current practice location address for Yelena Samofalov is 100 South St Ste 102, Southbridge, MA 01550-4051 and can be reached out via phone at 508-765-7860 and via fax at 508-765-7861.
Provider Profile Details
- NPI Number
- 1780798686
- Provider Name
- Yelena Samofalov
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 South St Ste 102, Southbridge, MA 01550-4051
- Phone Number
- 508-765-7860
- Fax Number
- 508-765-7861
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 18, 2006
- Last Update Date
- January 4, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 South St Ste 102
Southbridge, MA 01550-4051 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-4051
- Phone Number
- 508-765-7860
- Fax Number
- 508-765-7861
Provider Business Mailing Address Details
- Address
- Po Box 40
Southbridge, MA 01550-0040 - City
- Southbridge
- State
- MA
- Zip
- 01550-0040
- Phone Number
- 508-909-7799
License Information
- License Number
- 223642
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Southbridge, MA
View all Pediatrics providers in Southbridge →- Diana Rabkina, MDPediatrics · NPI 1548285364
- Donald J Gentile MD PCPediatrics · NPI 1174738942
- Dr. Anu R Pathak, MDPediatrics · NPI 1376526350
- Dr. Marsha K Fearing, MD, MPH, MMSCPediatrics · NPI 1023007184
- Dr. Pamela A Wilson, DO FACOPPediatrics · NPI 1891739900
- Ms. Cynthia M Wilson Grillo, DOPediatrics · NPI 1366458457
Frequently Asked Questions
What is the NPI number of Yelena Samofalov, MD?
The NPI number of Yelena Samofalov, MD is 1780798686. It was assigned on August 18, 2006 and is currently active in the NPPES registry.
What is the specialty of Yelena Samofalov, MD?
Yelena Samofalov, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 223642.
Where does Yelena Samofalov, MD practice?
The practice location is 100 South St Ste 102, Southbridge, MA 01550-4051. The office can be reached at 508-765-7860 (phone) or 508-765-7861 (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 1780798686 directly on the NPPES registry website.