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Individual

MR. JAMES R CORRENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT, ATC

Contact information

Practice address
100 CUMMINGS CTR, STE 121Q, C/O ORTHOPAEDICS PLUS, BEVERLY, MA 01915-6129
(978) 927-0907
(978) 927-0537
Mailing address
23 LYNNBROOK RD, LYNNFIELD, MA 01940-1517
(781) 420-9569
(781) 229-8374

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15053
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0403087537
PRIVATE
MA
01
470205
TUFTS HEALTH PLAN
MA
01
616931
HARVARD PILGRIM HEALTH
MA
01
Y68032
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/30/2006
Last updated
10/08/2012
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