Provider Demographics
NPI:1225359953
Name:VIOLA, JULIANNE (MD)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:VIOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 CENTERE STREET
Mailing Address - Street 2:SUITE 31
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:617-522-3100
Mailing Address - Fax:617-522-6366
Practice Address - Street 1:1153 CENTERE STREET
Practice Address - Street 2:SUITE 31
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:617-522-3100
Practice Address - Fax:617-522-6366
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA245115208000000X
MA256993208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics