Individual
ELISABETH K CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-1465
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-1465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5454
MA
363AM0700X
Medical Physician Assistant
999999
MA
Other
Enumeration date
07/01/2015
Last updated
01/25/2017
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