Individual
SUNIT JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
111 WILLARD ST, SUITE GA, QUINCY, MA 02169-1200
(617) 471-4491
(617) 984-0636
Mailing address
41 KEENAN ST, WATERTOWN, MA 02472-2904
(720) 984-7075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2827
MA
111N00000X
Chiropractor
5600
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA48946
HARVARD PILGRIM HEALTH
MA
01
—
Y36967
BCBSMA
MA
Enumeration date
07/19/2006
Last updated
07/08/2007
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