CALEB BOSLER KORNGOLD

BOSTON, MA
NPI1477795201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NV  17541)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  122623)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-03-25
Last Update Date2021-07-07
Business Address
CALEB BOSLER KORNGOLD M.D.
330 BROOKLINE AVE
BOSTON, MA 02215-5400
Phone number: 617-667-4630
Mailing Address
CALEB BOSLER KORNGOLD M.D.
PSC 305 BOX 2108
APO, AP 96218-0022
Phone number: