Individual
DR. JON R JOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 MILL ST, BUILDING E - 17, HANOVER, MA 02339-1641
(781) 826-2131
(781) 826-4513
Mailing address
PO BOX 68, S WEYMOUTH, MA 02190-0001
(781) 803-2786
(781) 812-1631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45558
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194069
—
MA
01
—
1200529
UNITED
—
01
—
20603
HPHC
MA
01
—
3552812
CIGNA
—
01
—
721287
TUFTS
—
01
—
JOJ08024
BCBS
MA
Enumeration date
11/03/2005
Last updated
10/03/2024
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