Individual
JACLYN BOULAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5322
Mailing address
171 SOUTH ST, UNIT 6A, JAMAICA PLAIN, MA 02130-3958
(413) 281-3814
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
253867
MA
Other
Enumeration date
06/17/2010
Last updated
01/20/2016
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