Individual
PATRICIA SYLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 PARKMAN ST, WANG 460, BOSTON, MA 02114-3117
(617) 643-6115
(617) 643-6116
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 643-6115
(617) 643-6116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
230849
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
229028
NY
208C00000X
Colon & Rectal Surgery Physician
230849
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11075612/A
—
MA
Enumeration date
02/15/2007
Last updated
06/03/2015
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