Individual
STEVEN ALEXANDER KORNWEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 686-4319
Mailing address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 686-4319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40496
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25MA09858600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404967
—
SC
01
—
SCA0398510
MEDICARE PIN
SC
01
—
SCA0399068
MEDICARE PIN
SC
Enumeration date
03/30/2013
Last updated
09/07/2023
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