Individual
PAUL GEORGE JODREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(857) 206-7545
(617) 425-2031
Mailing address
11 CHATHAM VILLAGE RD, WORCESTER, MA 01606-3112
(508) 852-0118
(508) 852-0118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
MA 59035
MA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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