Individual
MELANIE JOHNCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
248824
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
261144
MA
Other
Enumeration date
06/25/2012
Last updated
11/28/2016
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