Individual
JACOB KOLDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
Mailing address
4821 LINWOOD LN, MANLIUS, NY 13104-2111
(315) 447-6155
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3016229
MA
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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