Individual
JENNIFER KELLEY MCCOLGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
450 BROOKLINE AVE, DANA 2, HEAD AND NECK ONCOLOGY, BOSTON, MA 02215-5418
(617) 632-3090
Mailing address
18 DEBBIE CT, PLYMOUTH, MA 02360-2377
(802) 345-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
02/25/2016
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