Individual
JACOB KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
7001 MAIN CAMPUS DR, LEXINGTON, MA 02421-8609
(203) 804-1038
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
234065
MA
Other
Enumeration date
01/02/2008
Last updated
05/29/2008
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