Provider Demographics
NPI:1154681146
Name:CELLURALE, CRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:CELLURALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 WASHINGTON ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-7404
Mailing Address - Country:US
Mailing Address - Phone:508-824-5865
Mailing Address - Fax:508-823-9108
Practice Address - Street 1:91 WASHINGTON ST UNIT 301
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-7404
Practice Address - Country:US
Practice Address - Phone:508-824-5865
Practice Address - Fax:508-823-9108
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP02553207R00000X
MA275058207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine