Individual
DR. STEVEN IRA KORNBLEUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CITY HALL PLZ, MELROSE, MA 02176-3149
(781) 662-8881
(781) 662-3376
Mailing address
1 CITY HALL PLZ, MELROSE, MA 02176-3149
(781) 662-8881
(781) 662-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
156364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300301
UNITED HEALTHCARE
—
01
—
070012784
RAILROAD MEDICARE
—
01
—
156364
STATE LICENSE NUMBER
MA
01
—
156364
TUFTS
—
01
—
2062239
AETNA
—
01
—
39444
FALLON
—
01
—
401061
HARVARD PILGRIM
—
01
—
J19373
BCBS
—
Enumeration date
10/26/2005
Last updated
03/29/2024
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