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Dr. Ellen M Kornmehl, MD
Radiation Oncology Physician in Boston, Massachusetts
NPI 1740270487

Ellen M Kornmehl is a Radiation Oncology Physician based in Charlestown, MA and is specialized in Radiation Oncology. Ellen M Kornmehl practices in Boston, MA and has the professional credentials of MD. The NPI Number for Ellen M Kornmehl is 1740270487 and holds a License No. 77524 (Massachusetts).

The current practice location address for Ellen M Kornmehl is 100 Blossom Street Cox 301, Boston, MA and can be reached out via phone at 617-726-6050 and via fax at 617-726-3603. You can also correspond with Ellen M Kornmehl through the mailing address at PO BOX 9142, CHARLESTOWN, MA - 02129-9142 (mailing address contact number: 617-724-0287).

Location: 100 Blossom Street Cox 301, Boston, MA, 02129-9142
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Provider Profile Details
NPI Number
1740270487
Provider Name
Ellen M Kornmehl
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Blossom Street Cox 301, Boston, MA, 02129-9142
Phone Number
617-726-6050
Fax Number
617-726-3603
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J13779 01 MA BCBS MA
3109241 05 MA
077524 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
100 Blossom Street Cox 301
City
State
Zip
02114-2617
Phone Number
617-726-6050
Fax Number
617-726-3603
person
Provider Business Mailing Address Details
Address
100 Blossom Street Cox 301
City
State
Zip
02114-2617
Phone Number
617-726-6050
Fax Number
617-726-3603
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
77524 (Massachusetts)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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