IndividualActive
Sandzhar Yusupov
NPI 1154770030 · Vehicle Modifications Contractor · Canton, MA
Provider details
- NPI number
- 1154770030
- Entity type
- Individual
- Primary specialty
- Vehicle Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
95 Washington St
Ste #474
Canton, MA 02021-4006
Phone: (781) 821-3411
Fax: (781) 634-0508
Mailing address
95 Washington St
Canton, MA 02021-4006
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2016-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.