Organization
CORNERSTONE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R BLUMBERG M.D. (MANAGER)
(617) 775-7804
Entity
Organization
Contact information
Practice address
1101 BEACON ST, SUITE 2 WEST, BROOKLINE, MA 02446-5587
(617) 775-7804
Mailing address
1101 BEACON ST, SUITE 2 WEST, BROOKLINE, MA 02446-5587
(617) 775-7804
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
206504
MA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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