Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vladislav Fomin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508326349

Vladislav Fomin, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 643-0667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2621 — (617) 726-2000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508326349
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESApril 2, 2019

Other providers in Boston