Individual
DR. JENNIFER R KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3701 MARKET STREET, 6TH FL STE 640, PHILADELPHIA, PA 19104
(215) 662-2250
Mailing address
3701 MARKET STREET, 6TH FLOOR SUITE 640, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD065732L
PA
208M00000X
Hospitalist Physician
MD065732L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016989430001
—
PA
Enumeration date
07/07/2006
Last updated
09/16/2019
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