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Individual

DR. PEARL KORENBLIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1011 CLIFTON AVE, FIRST FLOOR, CLIFTON, NJ 07013-3518
(973) 928-5490
(973) 928-5493
Mailing address
266 PENNINGTON AVE, PASSAIC, NJ 07055-4645
(973) 778-1682
(973) 778-7233

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
173985
NY
207R00000X
Internal Medicine Physician
Primary
65102
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7206500
NJ
Enumeration date
06/29/2006
Last updated
02/11/2008
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