Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 844 | MA |
NPI | 1497821730 |
---|---|
Provider Name | Dr. Joseph Edward Kornfeld |
First Address | Lynn, MA 01902-1539 |
Second Address | Lynn, MA 01902-1539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 01/04/2014 |