NPI 1154770030
Sandzhar Yusupov
Practice location
- Address
- 95 Washington St STE #474, Canton, MA 02021-4006
- Phone
- (781) 821-3411
- Fax
- (781) 634-0508
Registered specialties
Vehicle Modifications Contractor
Primary
Registry record
- NPI
- 1154770030
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Jun 2016
- Record last updated
- 10 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.