Provider Demographics
NPI:1730388836
Name:JOLIN, EDITH MAY (MD)
Entity type:Individual
Prefix:DR
First Name:EDITH
Middle Name:MAY
Last Name:JOLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:35 MYLES VIEW DR
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-5030
Mailing Address - Country:US
Mailing Address - Phone:781-934-0188
Mailing Address - Fax:781-934-1571
Practice Address - Street 1:35 MYLES VIEW DR
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-5030
Practice Address - Country:US
Practice Address - Phone:781-934-0188
Practice Address - Fax:781-934-1571
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA800022084P0800X
OH609662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry