Individual
EUGENE POGANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15 LEEWOOD RD, NEWTON, MA 02461-2024
(647) 969-1104
Mailing address
15 LEEWOOD RD, NEWTON, MA 02461-2024
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512311
—
MA
01
—
707768
TUFT
—
01
—
W02962
BC/BS
MA
Enumeration date
10/03/2006
Last updated
07/08/2007
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