Vitaly Nazarov, MD
Pediatrics in Gt Barrington, Massachusetts
1811165350- Practice location
- 100 Maple Ave Ste 1, Gt Barrington, MA 01230-1965
- Phone
- 413-528-4047
- Fax
- 413-528-3407
- Last updated
- December 17, 2014
Vitaly Nazarov is a Pediatrics based in Gt Barrington, MA. Vitaly Nazarov practices in Gt Barrington, MA and has the professional credentials of MD. The NPI Number for Vitaly Nazarov is 1811165350 and holds a License No. 233988 (MA). The current practice location address for Vitaly Nazarov is 100 Maple Ave Ste 1, Gt Barrington, MA 01230-1965 and can be reached out via phone at 413-528-4047 and via fax at 413-528-3407.
Provider Profile Details
- NPI Number
- 1811165350
- Provider Name
- Vitaly Nazarov
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Maple Ave Ste 1, Gt Barrington, MA 01230-1965
- Phone Number
- 413-528-4047
- Fax Number
- 413-528-3407
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 19, 2008
- Last Update Date
- December 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Maple Ave Ste 1
Gt Barrington, MA 01230-1965 - City
- Gt Barrington
- State
- Massachusetts
- Zip
- 01230-1965
- Phone Number
- 413-528-4047
- Fax Number
- 413-528-3407
Provider Business Mailing Address Details
- Address
- 100 Maple Ave Ste 1
Gt Barrington, MA 01230-1965 - City
- Gt Barrington
- State
- MA
- Zip
- 01230-1965
- Phone Number
- 413-528-4047
- Fax Number
- 413-528-3407
License Information
- License Number
- 233988
- 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 Gt Barrington, MA
View all Pediatrics providers in Gt Barrington →- Michael F Weiss, MDPediatrics · NPI 1700925591
- Ruth Geller, LMHCCounselor, Mental Health · NPI 1053371914
- Jeffrey Forget, LMHCCounselor, Mental Health · NPI 1386604312
- Leslie Marcus, MS RN CSRegistered Nurse, Psych/Mental Health · NPI 1154383586
- Lois Gennari, LICSWSocial Worker, Clinical · NPI 1578523510
- Burt Downes, EDDPsychologist · NPI 1043270069
Frequently Asked Questions
What is the NPI number of Vitaly Nazarov, MD?
The NPI number of Vitaly Nazarov, MD is 1811165350. It was assigned on February 19, 2008 and is currently active in the NPPES registry.
What is the specialty of Vitaly Nazarov, MD?
Vitaly Nazarov, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 233988.
Where does Vitaly Nazarov, MD practice?
The practice location is 100 Maple Ave Ste 1, Gt Barrington, MA 01230-1965. The office can be reached at 413-528-4047 (phone) or 413-528-3407 (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 1811165350 directly on the NPPES registry website.