Active NPIIndividual provider

Dr. Stephen S Kornbluth, MD

Family Medicine in Bomoseen, Vermont

NPI Number1811948847
Practice location
275 Route 30 N, Bomoseen, VT 05732-9647
Fax
802-468-2923
Last updated
September 2, 2016

Stephen S Kornbluth is a Family Medicine based in Bomoseen, VT. Stephen S Kornbluth practices in Bomoseen, VT and has the professional credentials of MD. The NPI Number for Stephen S Kornbluth is 1811948847 and holds a License No. 153606 (NY). The current practice location address for Stephen S Kornbluth is 275 Route 30 N, Bomoseen, VT 05732-9647 and can be reached out via phone at 802-468-5641 and via fax at 802-468-2923.

Provider Profile Details

NPI Number
1811948847
Provider Name
Stephen S Kornbluth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
275 Route 30 N, Bomoseen, VT 05732-9647
Phone Number
802-468-5641
Fax Number
802-468-2923
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2006
Last Update Date
September 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
275 Route 30 N
Bomoseen, VT 05732-9647
State
Vermont
Zip
05732-9647
Phone Number
802-468-5641
Fax Number
802-468-2923
Bomoseen, VT 05732Get directions →

Provider Business Mailing Address Details

Address
71 Allen Street
Suite 403
Rutland, VT 05701-4570
City
Rutland
State
VT
Zip
05701-4570
Phone Number
802-772-4414
Fax Number
802-772-7973

License Information

License Number (1)
153606
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
0420011399
License State (2)
VT
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stephen S Kornbluth, MD?

The NPI number of Dr. Stephen S Kornbluth, MD is 1811948847. It was assigned on May 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephen S Kornbluth, MD?

Dr. Stephen S Kornbluth, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 153606.

Where does Dr. Stephen S Kornbluth, MD practice?

The practice location is 275 Route 30 N, Bomoseen, VT 05732-9647. The office can be reached at 802-468-5641 (phone) or 802-468-2923 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811948847 directly on the NPPES registry website.

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