Individual
EDWARD EUGENE CORNWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2041 GEORGIA AVE NW STE 4000, WASHINGTON, DC 20060-0005
(202) 865-3785
Mailing address
2041 GEORGIA AVE NW STE 6101, WASHINGTON, DC 20060-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D36081
MD
2086S0102X
Surgical Critical Care Physician
Primary
MD17936
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039793200
—
DC
05
—
347821100
—
MD
Enumeration date
06/06/2006
Last updated
08/02/2019
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