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Contact Information

WILLIAM J CORNETTA III, MD
85 HERRICK ST
BEVERLY HOSPITAL
BEVERLY, MA01915-1776
 Phone: 978-922-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for WILLIAM J CORNETTA III · (Male)

NPI Number 1174596761
Status Active
Credentials MD
Entity Individual
Enumeration date 02/13/2006
Last updated 12/11/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 34141
  • MA Medicaid 6167942
  • MA Other D08052 BCBS MA
  • MA Other DM0438 HARVARD PILGRIM
  • MA Other 220020523 RAILROAD MEDICARE
  • MA Other 710537 TUFTS HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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