| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MISTI MARIE CORONEL | 1124345657 | 2024-09-07 |
Misti M Coronel [F] graduated in 2010 from Jefferson Medical College Of Thomas Jefferson University and primarily specializes in Pathology.
Misti Marie Coronel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124345657. Registration indicates Misti Marie Coronel is a provider of services with a specialization in Anatomic Pathology & Clinical Pathology (Pathology) (Allopathic & Osteopathic Physicians, Pathology) (Pathology: Anatomic Pathology & Clinical Pathology, ) (All Other Specialties & Provider Types, ) (Pathology Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians) (Pathology, ) (Anatomic Pathology & Clinical Pathology (Pathology),, ) (Allopathic & Osteopathic Physicians, Pathology) (Pathology: Anatomic Pathology & Clinical Pathology, ) (All Other Specialties & Provider Types, ) (Pathology Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians) (Pathology, )
| PECOS ID | 1658502745 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Misti Marie Coronel M.D. |
| Practice Office Address | 41 MALL RD BURLINGTON, MA US |
| Practice Office Telephone | 7817448000 |
| Mailing Address | PROVIDER ENROLLMENT 41 MALL ROAD BURLINGTON, MA 018050001 US |
| Code | Practice | License No State |
|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology (Pathology), Allopathic & Osteopathic Physicians Pathology Pathology: Anatomic Pathology & Clinical Pathology All Other Specialties & Provider Types Pathology Anatomic Pathology & Clinical Pathology Allopathic & Osteopathic Physicians Pathology | MD450285
PA |
| 207ZP0102X PRIMARY | Anatomic Pathology & Clinical Pathology (Pathology), Allopathic & Osteopathic Physicians Pathology Pathology: Anatomic Pathology & Clinical Pathology All Other Specialties & Provider Types Pathology Anatomic Pathology & Clinical Pathology Allopathic & Osteopathic Physicians Pathology | 1014877
MA |