Individual
LODTZ ANSLY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 726-2947
Mailing address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 726-2947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102296
MA
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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