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NPI Code Detail

MEDICARE: STEVEN A KORN M.D.

MEDICARE: STEVEN A KORN 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
12084P0804XChild & Adolescent Psychiatry Physician044339CT

General Provider Information

NPI Number : 1881861011
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN A KORN M.D.
Provider Business Mailing Address
First Line : 370 BASSETT RD
Second Line : ANTHEM BEHAVIORAL HEALTH
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number : 203-985-7639
Fax Number :
Provider Business Practice Location Address
First Line : 370 BASSETT RD
Second Line : ANTHEM BEHAVIORAL HEALTH
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number : 203-985-7639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2008
Last Update Date : 05/16/2008

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