Individual
ROGER ZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC I
Contact information
Practice address
210 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2413
(617) 268-5000
(617) 268-5008
Mailing address
210 OLD COLONY AVE, SOUTH BOSTON, MA 02127-2413
(617) 268-5000
(617) 268-5008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18961
MA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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