Individual
JOHN M CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
88 WASHINGTON ST, ATTN EMERGENCY DEPT, TAUNTON, MA 02780-2465
(508) 828-7108
(508) 828-7158
Mailing address
460 TOTTEN POND RD, C/O MZI, WALTHAM, MA 02451-1991
(781) 890-9933
(781) 890-9930
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
70426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121657
—
MA
01
—
410296
TUFTS
MA
01
—
437057
HPHC
MA
01
—
J10558
BCBS
MA
Enumeration date
10/20/2005
Last updated
02/22/2010
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