CRISTOBAL CORNEJO PA-C NPI 1659332799

NPI Information

  • NPI: 1659332799
  • Provider Name: CRISTOBAL CORNEJO, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 360 HUNTINGTON AVE
    135 FORSYTH BUILDING
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 373-8933

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NPI Details

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
1363AM0700XPhysician AssistantMedical653MASSACHUSETTSYes

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
1AP2135MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
2Q18911MEDICARE UPINMASSACHUSETTS

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: 11/21/2025

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