Individual
ERISA KOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 BATTERYMARCH ST, BOSTON, MA 02110-3235
(857) 263-9775
Mailing address
40 BATTERYMARCH ST, BOSTON, MA 02110-3235
(857) 263-9775
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
3016652
MA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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