Individual
CHERYL K WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5345
(781) 306-5015
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48209
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014891
NEIGHBORHOOD HEALTH
MA
01
—
048209
TUFTS
MA
05
—
3053458
—
MA
01
—
C04963
BLUE CROSS
MA
01
—
M132
HARVARD PILGRIM
MA
Enumeration date
05/05/2006
Last updated
06/15/2011
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