Individual
JACOB F. KALLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3075
Mailing address
41 SAINT MARYS RD, MILTON, MA 02186-2034
(513) 543-4253
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
277504
MA
Other
Enumeration date
04/29/2014
Last updated
03/10/2025
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