Individual
JOSEPH P KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PEARL ST, SUITE 2100, BROCKTON, MA 02301-2864
(508) 897-6040
(508) 897-6045
Mailing address
1 PEARL ST, SUITE 2100, BROCKTON, MA 02301-2864
(508) 897-6040
(508) 897-6045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49610
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164429
—
MA
Enumeration date
10/04/2005
Last updated
08/16/2011
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