Organization
STEVEN I. KORNBLEUTH, MD
Active
Other names
Advanced Dermatology of Melrose
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN I KORNBLEUTH MD (MD)
(781) 662-8881
Entity
Organization
Contact information
Practice address
802 MAIN STREET, MELROSE, MA 02176
(781) 662-8881
(781) 662-8886
Mailing address
802 MAIN STREET, MELROSE, MA 02176
(781) 662-8881
(781) 662-8886
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
156364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17125
BCBS
—
Enumeration date
08/31/2006
Last updated
12/30/2019
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