Kornbleuth, Steven Ira

Kornbleuth, Steven Ira is an individual health care provider with primary practice located at 1 City Hall Plz , Melrose MA 02176-3149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kornbleuth, Steven Ira can be contacted via phone (781) 662-8881.

Contact Information

Primary practice address
1 City Hall Plz Melrose MA 02176-3149
Phone: (781) 662-8881
Fax: (781) 662-3376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 156364 Massachusetts

Profile Details

NPI number 1386634806
LBN Legal business name Kornbleuth, Steven Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 29th, 2024 - about 2 years 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 1386634806 NPPES
Other J19373 BCBS
Other 0300301 BCBS
Other 156364 BCBS
Other 39444 BCBS
Other 156364 BCBS
Other 401061 BCBS
Other 070012784 BCBS
Other 2062239 BCBS

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