CRISTOBAL CORNEJO PA-C NPI 1659332799

NPI Information

NPI: 1659332799
Provider Name: CRISTOBAL CORNEJO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
360 HUNTINGTON AVE
135 FORSYTH BUILDING
BOSTON, MA
ZIP 02115
Phone: (617) 373-8933
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Cristobal Cornejo, PA-C is a medical physician assistant in Boston, MA. Cristobal Cornejo, PA-C NPI is 1659332799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

360 HUNTINGTON AVE
135 FORSYTH BUILDING
BOSTON, MA
ZIP 02115-005
Phone: (617) 373-8933
Fax: (617) 373-2601

The enumeration date for this NPI number is 3/29/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	653	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AP2135	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	Q18911	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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