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Individual

DR. JOLANDA ZICKMANN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Mailing address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 687-2262
(978) 946-8173

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
215571
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0189596
MA
Enumeration date
07/28/2005
Last updated
07/08/2007
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