Individual
MARY ELLEN JAGELSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CHILTON RD, WEST ROXBURY, MA 02132-1717
(617) 325-3215
Mailing address
15 CHILTON RD, WEST ROXBURY, MA 02132-1717
(617) 325-3215
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
127565
MA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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