Individual
JACOB JOSEF KANTROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 DORCHESTER AVE, BOSTON, MA 02124-5666
(617) 506-4000
Mailing address
2100 DORCHESTER AVE, BOSTON, MA 02124-5666
(617) 506-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285073
MA
207R00000X
Internal Medicine Physician
LP04711
RI
208M00000X
Hospitalist Physician
285073
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
08/12/2022
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