Individual
CHRIS ROBERT CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5170 STATE ROUTE 405, MILTON, PA 17847-7510
(570) 246-4575
Mailing address
3 DOGWOOD LN, RUTLAND, VT 05701-3774
(802) 345-0851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042-0010037
VT
207Q00000X
Family Medicine Physician
Primary
MD486268
PA
207Q00000X
Family Medicine Physician
ME76538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08497
MVP
VT
05
—
1009665
—
VT
01
—
3203553
CIGNA
VT
01
—
59378
BCBS
VT
01
—
P00168543
MEDICARE RAILROAD
VT
Enumeration date
11/16/2006
Last updated
06/18/2025
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