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Individual

ANNA JACQUELINE KOBZEVA-HERZOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
72 EAST CONCORD STREET, COLLAMORE BUILDING, C515, BOSTON, MA 02118
(617) 638-8442
Mailing address
72 EAST CONCORD STREET, COLLAMORE BUILDING, C515, BOSTON, MA 02118
(617) 638-8442

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
285405
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/24/2020
Last updated
07/07/2020
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