Mamuka Gventsadze
Mamuka Gventsadze is a Surgery Physician in Brookline, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.
- Licensed in
- MA
- In the registry since
- 2025
Practice location Address checks out
6 Parkway RdBrookline, MA 02445-5463
Phone: (617) 416-4203
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 3017581 (MA) |
|---|
Record details
| NPI number | 1841003589 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 28, 2025 |
| Last updated in NPPES | January 28, 2025 |
| Certification date | January 28, 2025 |
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