Provider Demographics
NPI:1073602595
Name:CORNFIELD, RICHARD B (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:CORNFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:29 BALA AVE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3209
Mailing Address - Country:US
Mailing Address - Phone:610-864-5512
Mailing Address - Fax:484-270-8332
Practice Address - Street 1:29 BALA AVE
Practice Address - Street 2:SUITE 222
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3209
Practice Address - Country:US
Practice Address - Phone:610-864-5512
Practice Address - Fax:484-270-8332
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD011771E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry