Provider Demographics
NPI:1730353939
Name:PARFENOV, VALERIY (MD)
Entity type:Individual
Prefix:DR
First Name:VALERIY
Middle Name:
Last Name:PARFENOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VALERIY
Other - Middle Name:V
Other - Last Name:PARAFEYNIKOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:90 LIBBEY PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3129
Mailing Address - Country:US
Mailing Address - Phone:781-335-3900
Mailing Address - Fax:781-337-9424
Practice Address - Street 1:90 LIBBEY PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3129
Practice Address - Country:US
Practice Address - Phone:781-335-3900
Practice Address - Fax:781-337-9424
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2533212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology