Individual
JILL M ZALIECKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-1838
(617) 730-0477
Mailing address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-1838
(617) 730-0477
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
249191
MA
2086S0120X
Pediatric Surgery Physician
Primary
249191
MA
Other
Enumeration date
03/13/2008
Last updated
10/28/2021
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