Individual
DR. JACQUELINE MARIE CORTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7510
(617) 277-9015
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7510
(617) 277-9015
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
251866
MA
Other
Enumeration date
04/17/2013
Last updated
04/25/2013
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