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Individual

DR. M CORNELIA CREMENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 CHARLES RIVER PLZ, STE 501 CPZ 502, BOSTON, MA 02114-2725
(617) 726-4600
(617) 228-6306
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-4600
(617) 228-6306

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
73535
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
073535
TUFTS HEALTH PLAN
MA
05
3099130
MA
01
J13121
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
12/20/2012
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