MEDICARE: JAMES T CORT 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	207R00000X	Internal Medicine Physician	MA39303	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	922861	OTHER	HEALTHNET
2	501743	OTHER	AETNA
3	4121881	OTHER	CIGNA
4	0079778	OTHER	GHI
5	0105129001	OTHER	AMERIHEALTH

General Provider Information

NPI Number	:	1851467294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES T CORT MD

Provider Business Mailing Address
First Line	:	98 S MUNN AVE
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07018-3402
Country	:	US
Telephone Number	:	973-673-2260
Fax Number	:	973-673-5110

Provider Business Practice Location Address
First Line	:	98 S MUNN AVE
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07018-3402
Country	:	US
Telephone Number	:	973-673-2260
Fax Number	:	973-673-5110

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	06/20/2016

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