Individual
JOSE MARIO CORONA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7400
Mailing address
19 FLYAWAY POND DR, NORTH EASTON, MA 02356-1769
(508) 941-7400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
80775
MA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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