Individual
BRIAN J JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 372-7000
(781) 372-7009
Mailing address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 372-7000
(781) 372-7009
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
202771
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
202771
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110062114A
—
MA
Enumeration date
12/22/2006
Last updated
06/13/2011
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