Individual
DR. JEFFREY MICHAEL KOWALESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1860
Mailing address
VA BOSTON HEALTHCARE, 940 BELMONT ST, BROCKTON, MA 02301
(774) 826-1860
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
63698-20
WI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD459066
PA
Other
Enumeration date
05/23/2012
Last updated
06/03/2020
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