Individual
JAMES KOCIUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
266 WASHINGTON ST, WELLESLEY, MA 02481-4922
(781) 235-1464
Mailing address
266 WASHINGTON ST, WELLESLEY, MA 02481-4922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH232553
MA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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