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NPI Code Detail

MEDICARE: JAMES CORRY M.D.

MEDICARE: JAMES CORRY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology PhysicianR8310MO
22080P0201XPediatric Allergy/Immunology PhysicianMD432067PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12722V34311OTHERHEALTHCARE USA

General Provider Information

NPI Number : 1205827490
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES CORRY M.D.
Provider Business Mailing Address
First Line : 100 E PENN SQ
Second Line : 9TH FLOOR
City : PHILADELPHIA
State : PA
Zip : 19107-3323
Country : US
Telephone Number : 267-425-9234
Fax Number : 267-425-9299
Provider Business Practice Location Address
First Line : 3550 MARKET ST FL 3
Second Line : CHILDREN'S HOSPITAL OF PHILADELPHIA - ALLERGY & IMMUN
City : PHILADELPHIA
State : PA
Zip : 19104-3365
Country : US
Telephone Number : 215-590-2549
Fax Number : 215-590-4529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 04/12/2013

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