Individual
DR. KIMBERLY ANN KORNBLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5 BENNER CT, BRIDGEWATER, NJ 08807-1951
(908) 229-8709
Mailing address
5 BENNER CT, BRIDGEWATER, NJ 08807-1951
(908) 229-8709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04132700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI04132700
NJBOP
NJ
Enumeration date
06/04/2021
Last updated
06/04/2021
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