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Individual

DR. EDMUND W CORNMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1800 GLENSIDE DR, SUITE 103, RICHMOND, VA 23226-3769
(804) 285-0100
(804) 285-2458
Mailing address
PO BOX 8266, RICHMOND, VA 23226-0266
(804) 285-0100
(804) 285-2458

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101233151
VA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
0101233151
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130025786
MEDICARE-RAILROAD
VA
01
1821896
UNITED HEALTHCARE
VA
01
206678
SOUTHERN HEALTH
VA
01
2110918
MAMSI/ALLIANCE
VA
01
29493
CIGNA
VA
01
3531249
AETNA HMO
VA
01
460753
ANTHEM-GLENSIDE
VA
01
460754
ANTHEM-COLHEIGHTS
VA
01
49538
CARENET
VA
01
64490
OPTIMA/SENTARA
VA
05
7118171
VA
01
7802252
AETNA NONHMO
VA
Enumeration date
09/30/2005
Last updated
11/04/2008
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