Kolodny, Jonathan M

Kolodny, Jonathan M is an individual health care provider with primary practice located at 825 Washington St Suite 340, Norwood MA 02062-3441. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kolodny, Jonathan M can be contacted via phone (781) 762-0425.

Contact Information

Primary practice address
825 Washington St Suite 340 Norwood MA 02062-3441
Fax: (781) 762-0634
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 49212 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49212 Massachusetts

Profile Details

NPI number 1649277674
LBN Legal business name Kolodny, Jonathan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Nov 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649277674 NPPES
Massachusetts MEDICAID 6198945

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