Individual
CHRISTINE MICHELLE CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115
(617) 732-5500
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5817
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
278249
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
06/03/2019
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