Individual
JONATHAN MOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8000
(781) 624-3719
Mailing address
PO BOX 200694, PITTSBURGH, PA 15251-0694
(833) 324-6904
(302) 440-5783
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
269163
MA
2085R0202X
Diagnostic Radiology Physician
052280
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2011
Last updated
02/13/2026
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