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LIDYA WLASIUK M.D. NPI 1003175910

Classification
Family Medicine
Type
License No.
264803
License State
MA
Certified
Location

Additional Identifiers

Medical School
OTHER
Graduation Year
2012
Identifier
Type
State
Identifier: S400257587
Type: MEDICARE PIN (08)
State: MA
Identifier: 110102696A
Type: MEDICAID (05)
State: MA
Identifier: S400257743
Type: MEDICARE PIN (08)
State: MA

Hospital & Clinics

Business Name
Boston University Family Medicine, Inc.
Company Size
Revenue
Business Address
850 HARRISON AVE, BOSTON, MA, 21184001
Business Phone
617-414-2080
Mailing Address
720 HARRISON AVE, BOSTON, MA, 21182371
Mailing Phone
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