Individual
CHRISTOPHER A CERNIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-7237
(774) 441-8443
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
229441
NY
2085R0202X
Diagnostic Radiology Physician
Primary
232866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110077500A
—
MA
Enumeration date
09/20/2006
Last updated
11/08/2021
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