Most Relevant Information
Provider Data
| NPI Number: | 1003520768 |
| Provider Name: | BRIAN KOLODZIEJ STUDENT |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN2286730 |
Most Important Dates
| Enumeration Date: | 01/09/2023 |
| Last Updated: | 01/09/2023 |
Provider Practice Location
140 COMMONWEALTH AVE
CHESTNUT HILL
MA
024673858
Practice Location Phone/Fax
| Phone: | 6175522756 |
| Fax: |
Provider Mailing Location
140 COMMONWEALTH AVE
CHESTNUT HILL
MA
024673800
Provider Mailing Phone/Fax
| Phone: | 6175522756 |
| Fax: |