Individual
JACOB KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 WINTER ST, BOSTON, MA 02108-4720
(617) 426-0600
Mailing address
30 WINTER ST, BOSTON, MA 02108-4720
(978) 250-6240
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234622
MA
Other
Enumeration date
02/15/2007
Last updated
08/17/2021
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