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Dr. Jack R Cornelius, MD
Specialist in Pittsburgh, Pennsylvania
NPI 1467425777

Jack R Cornelius is a Specialist based in Pittsburgh, PA. Jack R Cornelius practices in Pittsburgh, PA and has the professional credentials of MD. The NPI Number for Jack R Cornelius is 1467425777 and holds a License No. MD028090E (Pennsylvania).

The current practice location address for Jack R Cornelius is 3811 Ohara St, Pittsburgh, PA and can be reached out via phone at 412-624-1000.

Location: 3811 Ohara St, Pittsburgh, PA, 15213-2593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467425777
Provider Name
Jack R Cornelius
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3811 Ohara St, Pittsburgh, PA, 15213-2593
Phone Number
412-624-1000
Fax Number
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001000435 05 PA
institution
Provider Business Practice Location Address Details
Address
3811 Ohara St
City
Pittsburgh
State
Pennsylvania
Zip
15213-2593
Phone Number
412-624-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3811 Ohara St
City
Pittsburgh
State
Pennsylvania
Zip
15213-2593
Phone Number
412-624-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD028090E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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