Individual
MARILYNN PHUNG-KOLCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 GOVE ST, BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4510
Mailing address
10 GOVE ST, BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2303034
MA
Other
Enumeration date
09/02/2024
Last updated
08/08/2025
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