Individual
COREY L SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
50 STANIFORD ST # S50-1002, BOSTON, MA 02114-2517
(617) 724-7168
(617) 724-3947
Mailing address
50 STANIFORD ST # S50-1002, BOSTON, MA 02114-2517
(617) 724-7168
(617) 724-3947
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
279381
MA
Other
Enumeration date
04/05/2010
Last updated
01/27/2014
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