Corzo, Deyanina

Corzo, Deyanina is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Corzo, Deyanina can be contacted via phone (617) 768-6926.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 768-6926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 208008 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 208008 Massachusetts

Profile Details

NPI number 1366409526
LBN Legal business name Corzo, Deyanina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366409526 NPPES
Massachusetts MEDICAID 125091

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