Individual
DR. JASON A KORNBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
425 W MAIN ST, FREEHOLD, NJ 07728-2519
(732) 462-5841
Mailing address
40 OGDEN LN, MANALAPAN, NJ 07726-2811
(908) 839-6608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03594300
NJ
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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