Individual
DR. ERNEST WILLIAM KORNMEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 WASHINGTON ST, BROOKLINE, MA 02445-7130
(617) 232-9600
(617) 232-7002
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
58784
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058784
TUFTS HEALTH PLAN
MA
05
—
3068820
—
MA
01
—
J09372
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
02/14/2025
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