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Individual

DR. ALAN DAVID KORNBLUT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
5530 WISCONSIN AVENUE, SUITE 535, CHEVY CHASE, MD 20815-4451
(301) 657-8834
Mailing address
5530 WISCONSIN AVENUE, SUITE 535, CHEVY CHASE, MD 20815-4451
(301) 657-8834

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101032737
VA
207Y00000X
Otolaryngology Physician
12426
DC
207Y00000X
Otolaryngology Physician
Primary
D26462
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04594207
DC
Enumeration date
06/10/2006
Last updated
07/08/2007
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