Dennis Borek Cornfield, M.D.
Individual provider Active NPI Anatomic Pathology Physician · Glenside, PA
NPI 1710075668 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1710075668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology Physician 207ZP0101X
- License
- MD011141E (PA)
- Practice address
- 509 Bridle Rd.
Glenside, PA 19038-2001 - Phone
- (215) 572-5916
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD011141E | PA | MD | Hematology & Oncology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD011141E | PA | |
| Hematology (Pathology) Physician | 207ZH0000X | MD011141E | PA | |
| Anatomic Pathology Physician | 207ZP0101X | MD011141E | PA | Yes |
Addresses
Primary practice location
509 Bridle Rd.
Glenside, PA 19038-2001
Mailing address
509 Bridle Rd.
Glenside, PA 19038-2001
Phone (215) 572-5916
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD011141E | Other | PA | STATE LICENSE NUMBER |
Other providers in Glenside, PA
- Melanie Conca
- Janet Connor
- Joanne B Conway
- Walter Earl Copeland II
- Clare Corbett
- Jessica A Corrigan
- Elizabeth (Betty) Coutts
- Kelly Marie Coutts
- Tasha Crafton
- Curran Chiropractic Center, P.C.
All providers in Glenside, PA · Anatomic Pathology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.