Kornmehl, Ellen M

Kornmehl, Ellen M is an individual health care provider with primary practice located at 100 Blossom Street Cox 301 Radiation Oncolofy, Boston MA 02114-2617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Kornmehl, Ellen M can be contacted via phone (617) 726-6050.

Contact Information

Primary practice address
100 Blossom Street Cox 301 Radiation Oncolofy Boston MA 02114-2617
Phone: (617) 726-6050
Fax: (617) 726-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 77524 Massachusetts

Profile Details

NPI number 1740270487
LBN Legal business name Kornmehl, Ellen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1740270487 NPPES
Massachusetts Other J13779 BCBS MA
Massachusetts MEDICAID 3109241 BCBS MA
Massachusetts Other 077524 BCBS MA

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