Steven I. Kornbleuth, MD
Organization Active NPI Dermatology Physician · Melrose, MA
NPI 1669584348 · NPPES record last updated Dec 30, 2019
Key facts
- NPI
- 1669584348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 156364 (MA)
- Legal business name
- STEVEN I. KORNBLEUTH, MD
- Practice address
- 802 Main Street
Melrose, MA 02176 - Phone
- (781) 662-8881
- Fax
- (781) 662-8886
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven I Kornbleuth, MD
- Title
- MD
- Phone
- (781) 662-8881
Subparts reporting this organization as parent 1
Practitioners 1
National Provider Directory
Locations
60 Dedham Ave
#206
Needham, MA 02492
Phone (781) 444-6200
111 Lincoln St
Needham, MA 02492
Phone (781) 444-6200
Interoperability endpoints
- kornbleuth.steven.adm@direct.partners.masshiway.net
- saragosa.katherine.adm@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 156364 | MA | Yes |
Addresses
Primary practice location
802 Main Street
Melrose, MA 02176
Mailing address
802 Main Street
Melrose, MA 02176
Phone (781) 662-8881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M17125 | Other | BCBS |
Other names
- Advanced Dermatology of Melrose
Other providers in Melrose, MA
- Althea B Stanislaus II
- Brittany Nicolle Stanko
- Michael P Stead
- Joshua P Stein
- Laura Anne Sternberger
- Susan Angela Stillwell
- Julie Stoelzel
- Robert Stoica
- Mary Ramsey Stuckey
- Emily C Sullivan
All providers in Melrose, MA · Dermatology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.