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NPI Code Detail

MEDICARE: ANNA JOLESZ M.D.

MEDICARE: ANNA JOLESZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician48803MA

General Provider Information

NPI Number : 1598702607
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA JOLESZ M.D.
Provider Business Mailing Address
First Line : 400 SHAWMUT AVE
Second Line : SOUTH END COMMUNITY HLTH CENT.
City : BOSTON
State : MA
Zip : 02118-2006
Country : US
Telephone Number : 617-425-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1601 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02118-1951
Country : US
Telephone Number : 617-425-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/08/2007

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Directions to “ ANNA JOLESZ M.D.” Practice Location

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