Individual provider · Type 1 NPI

Cristobal Cornejo Jr., PA-C

Medical Physician Assistant · Boston, MA

NPI number 1659332799 Active

Practice location

360 Huntington Ave, 135 Forsyth Building
Boston, MA 02115-5005

Call (617) 373-8933 Map

Fax (617) 373-2601

Mailing address

7 Tristan Ct
Worcester, MA 01602-1314

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X653 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1659332799

Cristobal Cornejo Jr., PA-C's National Provider Identifier is 1659332799, issued on Mar 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.