Provider Demographics
NPI:1063663029
Name:CORNFIELD, ALAN DREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:DREW
Last Name:CORNFIELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 UNIVERSITY BLVD WEST
Mailing Address - Street 2:SUITE 704
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902
Mailing Address - Country:US
Mailing Address - Phone:301-585-2225
Mailing Address - Fax:301-929-0245
Practice Address - Street 1:2730 UNIVERSITY BLVD WEST
Practice Address - Street 2:SUITE 704
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-585-2225
Practice Address - Fax:301-929-0245
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor