Individual
VICKIE Y JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, AMORY 3 DEPT. OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-6473
Mailing address
75 FRANCIS ST, AMORY 3 DEPT. OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-6473
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
251298
MA
390200000X
Student in an Organized Health Care Education/Training Program
0116018305
VA
Other
Enumeration date
05/02/2007
Last updated
01/09/2017
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