MEDICARE: ADAM KORUS

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	65451	CT
2	207RP1001X	Pulmonary Disease Physician	65451	CT
3	207R00000X	Internal Medicine Physician	298901	NY
4	207R00000X	Internal Medicine Physician	65451	CT

General Provider Information

NPI Number	:	1801259882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM KORUS

Provider Business Mailing Address
First Line	:	1290 SILAS DEANE HIGHWAY
Second Line	:	HHC - CVO
City	:	WETHERSFIELD
State	:	CT
Zip	:	06109-4337
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 SEYMOUR ST STE 923
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06106-5529
Country	:	US
Telephone Number	:	860-524-4550
Fax Number	:	860-524-4565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2016
Last Update Date	:	07/17/2023

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Directions to “ ADAM KORUS ” Practice Location

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