Individual
MRS. JILL ELIZABETH DECOLOGERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC, MSN
Contact information
Practice address
3 WOODLAND RD STE 322, STONEHAM, MA 02180-1713
(781) 662-2243
(781) 662-4878
Mailing address
3 WOODLAND RD STE 322, STONEHAM, MA 02180-1713
(781) 662-2243
(781) 662-4878
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN267529
MA
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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