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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENNADIY VENGEROVICH

Active

Otolaryngology · BOYNTON BEACH, FL

Registration Details

NPI Number
1477708907
Provider Type
Individual
Gender
Male
NPI Issued
Nov 25, 2008 (17.406756587105 yrs)
Last Updated
Oct 18, 2023
Licenses
ME116592 (FL)
ME116592 (NY)

Practice Information

Address
10150 HAGEN RANCH RD STE 100
BOYNTON BEACH, FL, 334373776
Browse FL providers · Browse ZIP 33437
Phone
5617368141
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Pediatric Otolaryngology
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in BOYNTON BEACH, FL

Name Credential NPI
ELLIS LORENZO WEBSTER MD 1629025903
DR. ALFREDO SAMUEL ARCHILLA M.D. 1952329138
DR. NEIL G. GOLDHABER M.D. 1114093598
KAETE ALEXANDRA ARCHER MD 1457670424
EDWARD M RUBIN MD 1457667644
MALLORY JAYNE HIGHSTEIN MD 1699206623
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.