Individual
DR. IRA KORNBLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7920 MCDONOGH RD, SUITE 201, OWINGS MILLS, MD 21117-5273
(443) 693-7246
(866) 906-5997
Mailing address
7920 MCDONOGH RD, SUITE 210, OWINGS MILLS, MD 21117-5273
(443) 693-7246
(866) 906-5997
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
D0061293
MD
Other
Enumeration date
06/28/2005
Last updated
06/12/2014
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