Individual
DR. EDWARD CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3690 ORANGE PL STE 150, BEACHWOOD, OH 44122-4476
(216) 839-0933
(216) 839-0934
Mailing address
21055 SHELBURNE RD, SHAKER HEIGHTS, OH 44122-1945
(216) 224-1841
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34.004576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124064274
—
OH
Enumeration date
06/20/2006
Last updated
12/05/2022
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