Individual
KENNETH L NOLLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BOX 324, WASHINGTON ST., NEW ENGLAND MEDICAL CENTER, BOSTON, MA 02111
(617) 636-2382
Mailing address
14 HIGH RIDGE RD, SHREWSBURY, MA 01545-1673
(617) 636-2382
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
70287
MA
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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