MEDICARE: JOSEPH JOHN KOREY JR. 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
1	207V00000X	Obstetrics & Gynecology Physician	MD018138E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01163001	OTHER	PA	CAPITAL BLUE CROSS
2	55676	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790770972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH JOHN KOREY JR. MD

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	02/28/2014

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