Individual
CAROL L KORNMEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2090 SPRINGDALE RD STE B, CHERRY HILL, NJ 08003-2024
(856) 751-9010
Mailing address
2090 SPRINGDALE RD STE B, CHERRY HILL, NJ 08003-2024
(856) 751-9010
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA05055500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239003
—
NJ
Enumeration date
06/17/2006
Last updated
06/25/2021
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