Individual
DR. DAGAM JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCOP
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-2410
Mailing address
450 BROOKLINE AVE, YC-538K, BOSTON, MA 02215-5450
(617) 632-2410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
071493
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH1002184
MA
1835P1200X
Pharmacotherapy Pharmacist
RPH06534
RI
1835P2201X
Ambulatory Care Pharmacist
PH1002184
MA
1835X0200X
Oncology Pharmacist
071493
NY
1835X0200X
Oncology Pharmacist
PH1002184
MA
Other
Enumeration date
06/05/2024
Last updated
04/21/2026
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