MEDICARE: BERKS OB-GYN ASSOCIATES LTD

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
1	207V00000X	Obstetrics & Gynecology Physician	MD018138E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	02336700	OTHER	PA	CAPITOLBLUECROSS

General Provider Information

NPI Number	:	1366497323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERKS OB-GYN ASSOCIATES LTD

Provider Business Mailing Address
First Line	:	250 N 12TH ST
Second Line	:
City	:	READING
State	:	PA
Zip	:	19604-2952
Country	:	US
Telephone Number	:	610-374-0970
Fax Number	:	610-372-3564

Provider Business Practice Location Address
First Line	:	250 N 12TH ST
Second Line	:
City	:	READING
State	:	PA
Zip	:	19604-2952
Country	:	US
Telephone Number	:	610-374-0970
Fax Number	:	610-372-3564

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. JOSEPH JOHN KOREY
Credential	:	M.D.
Telephone Number	:	610-374-0970

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/22/2020

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