Individual
JANET E GAWLE KUKLINSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5100
(617) 972-5439
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
116429
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
116429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373541
—
MA
01
—
N789
HARVARD PILGRIM
MA
01
—
NP1561
BLUE CROSS
MA
Enumeration date
03/21/2006
Last updated
09/11/2025
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