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NPI Verification

National Provider Identifier: 1942430608

Innokentiy Bakaev, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

150 PARK ST

LAWRENCE, MA 018412517

Phone: 978-685-1770

NPI Enumeration Date

July 15, 2009

NPI Number

1942430608

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry