Individual
JACOB KOSHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 754-4677
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
282584
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
11/19/2020
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