Dr. Cristobal Alberto Quevedo
Oral and Maxillofacial Surgeon
761 Harrison Ave Apt 205
Boston
, Massachusetts 02118-2362
Dr. Cristobal Alberto Quevedo
Oral and Maxillofacial Surgeon
761 Harrison Ave Apt 205
Boston
, Massachusetts 02118-2362
(857) 413-0631
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Cristobal Alberto Quevedo
- 761 Harrison Ave Apt 205
- Boston, MA
- Zip : 02118-2362
- Phone : (857) 413-0631
Second Address
- Dr. Cristobal Alberto Quevedo
- 761 Harrison Ave Apt 205
- Boston, MA
- Zip : 02118-2362
- Phone : (857) 413-0631
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DL10997 | MA |
National Provider Identifier
| NPI | 1073825352 |
|---|---|
| Provider Name | Dr. Cristobal Alberto Quevedo |
| First Address | Boston, MA 02118-2362 |
| Second Address | Boston, MA 02118-2362 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2010 |
| Last Update Date | 02/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.