Dr MAX KERNIZAN is a male medical professional, specializing in Oral Surgery. He graduated in 2017.
FACIAL COSMETIC AND MAXILLOFACIAL SURGERY P.C.
382 N MAIN ST
SUITE 202
EAST LONGMEADOW
MA
010281830
Tel: 4135250100
| Npi | 1811334493 |
| Pac Id | 9739461161 |
| Professional Enrollment Id | I20171030001482 |
| Last Name | KERNIZAN |
| First Name | MAX |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialty 1 | MAXILLOFACIAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | MAXILLOFACIAL SURGERY |
| Organization Legal Name | FACIAL COSMETIC AND MAXILLOFACIAL SURGERY P.C. |
| Group Practice Pac Id | 3072584853 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 382 N MAIN ST |
| Line 2 Street Address | SUITE 202 |
| Marker Of Address Line 2 Suppression | |
| City | EAST LONGMEADOW |
| State | MA |
| Zip Code | 010281830 |
| Phone Number | 4135250100 |
| Hospital Affiliation Ccn 1 | 220077 |
| Hospital Affiliation Lbn 1 | BAYSTATE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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