Individual
IVANA JAROLIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5260
(617) 562-5277
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5260
(617) 562-5277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151162
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3162117
—
MA
Enumeration date
09/29/2005
Last updated
01/23/2012
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