Most Relevant Information
Provider Data
| NPI Number: | 1003651100 |
| Provider Name: | THOMAS CORNISH |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | R227852 |
Most Important Dates
| Enumeration Date: | 06/28/2024 |
| Last Updated: | 06/28/2024 |
Provider Practice Location
6296 DUCKETTS LN
ELKRIDGE
MD
210756129
Practice Location Phone/Fax
| Phone: | 3017126568 |
| Fax: |
Provider Mailing Location
6296 DUCKETTS LN
ELKRIDGE
MD
210756129
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |