Individual
ELI JOSEPH CORNBLATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 316-5151
Mailing address
2231 CARPENTER ST UNIT A, PHILADELPHIA, PA 19146-2557
(734) 474-9226
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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