Individual
JARED NEMKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-9162
Mailing address
2 EXECUTIVE PARK DRIVE, SUITE 200, NEWTON, MA 02462
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
286712
MA
Other
Enumeration date
06/15/2016
Last updated
07/27/2021
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