Cremone, Jeralyn C

Cremone, Jeralyn C is an individual health care provider with primary practice located at 1832 Centre St , West Roxbury MA 02132-1901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cremone, Jeralyn C can be contacted via phone (617) 469-4000.

Contact Information

Primary practice address
1832 Centre St West Roxbury MA 02132-1901
Phone: (617) 469-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 76099 Massachusetts

Profile Details

NPI number 1194711739
LBN Legal business name Cremone, Jeralyn C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 6th, 2012 - about 12 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 1194711739 NPPES
Massachusetts MEDICAID 3108228

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