Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YELENA SAMOFALOV, M.D.
ActivePediatrics · SOUTHBRIDGE, MA
Registration Details
- NPI Number
- 1780798686
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2006 (19.676030574991 yrs)
- Last Updated
- Jan 4, 2019
- License
-
223642 (MA)
Practice Information
- Address
-
100 SOUTH ST STE 102SOUTHBRIDGE, MA, 015504051Browse MA providers · Browse ZIP 01550
- Phone
- 5087657860
- Fax
- 5087657861
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SOUTHBRIDGE, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MARSHA KAY FEARING | MD, MPH, MMSC. | 1023007184 |
| DR. ANU RADHA PATHAK | MD | 1376526350 |
| DR. PAMELA ANNE WILSON | D.O. FACOP | 1891739900 |
| DIANA RABKINA | MD | 1548285364 |
| MS. CYNTHIA MAE WILSON GRILLO | DO | 1366458457 |
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.