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Individual

JOANNA LYNN D'AFFLITTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
245364
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
245364
MA
208D00000X
General Practice Physician
LP01095
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1100867060A
MA
Enumeration date
06/01/2007
Last updated
02/02/2022
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