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NPI Code Detail

MEDICARE: DR. GERALD P CORCORAN MD

MEDICARE: DR. GERALD P CORCORAN MD
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
1207Q00000XFamily Medicine Physician33120MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972588507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD P CORCORAN MD
Provider Business Mailing Address
First Line : 131 FAIR OAKS PARK
Second Line :
City : NEEDHAM
State : MA
Zip : 02492-3015
Country : US
Telephone Number : 781-444-8844
Fax Number :
Provider Business Practice Location Address
First Line : 145 ROSEMARY ST STE C
Second Line :
City : NEEDHAM
State : MA
Zip : 02494-3259
Country : US
Telephone Number : 781-444-5515
Fax Number : 781-444-1866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 12/14/2025

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