Individual
SMITA B KOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
496 LYNNFIELD ST, LYNN, MA 01904-1423
(781) 593-3400
Mailing address
496 LYNNFIELD ST, LYNN, MA 01904-1423
(781) 593-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236112
MA
Other
Enumeration date
07/16/2008
Last updated
07/18/2008
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