Individual
DR. JENNIFER A KABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
67 SLADES FERRY AVE, SOMERSET, MA 02726-1220
(508) 678-5633
(508) 673-5605
Mailing address
67 SLADES FERRY AVE STE 6708, SOMERSET, MA 02726-1220
(508) 678-5633
(508) 673-5605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB11207800
NJ
207Q00000X
Family Medicine Physician
261373
NY
207QA0505X
Adult Medicine Physician
Primary
272992
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1X6685
—
NJ
Enumeration date
06/27/2008
Last updated
09/29/2023
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