Individual
BRIDGET ELIZABETH KOSILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
35 PEARL ST, BROCKTON, MA 02301-2866
(508) 588-8034
Mailing address
35 PEARL ST, BROCKTON, MA 02301-2866
(617) 921-4139
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4767
MA
Other
Enumeration date
06/04/2019
Last updated
07/22/2019
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