Individual
JACLYN MARIE KOLOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
226 HARVARD AVE, ALLSTON, MA 02134-4605
(617) 751-5520
Mailing address
226 HARVARD AVE, ALLSTON, MA 02134-4605
(617) 751-5520
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
274835
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/07/2014
Last updated
01/17/2019
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