Individual
JERZY STANISLAW KORNILOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
251 E BALTIMORE ST, HAGERSTOWN, MD 21740-6144
(301) 791-0888
(301) 791-3611
Mailing address
1051 E MAIN ST, STE 7, WAYNESBORO, PA 17268-2318
(301) 791-0888
(301) 791-3611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1369
MD
Other
Enumeration date
02/17/2006
Last updated
12/07/2018
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