Individual
DR. MICHAEL S. KORNHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL, PHILADELPHIA, PA 19107-4824
(215) 955-8346
(215) 955-9989
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD026834E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01047692
—
PA
Enumeration date
05/07/2007
Last updated
09/15/2011
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