Individual
DR. JONATHAN R COGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BAYSTATE MEDICAL CTR, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199-0001
(413) 794-0884
Mailing address
6116 BIGELOW COMMONS, ENFIELD, CT 06082-3320
(814) 860-6250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036130163
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/14/2008
Last updated
04/27/2012
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