# LEO I. KOROTKI, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain and Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053371617
- **Authorized official:** DR. LEO ISRAEL KOROTKI M.D. (OWNER)
- **Authorized official phone:** (410) 823-9333

## Contact information

- **Practice address:** 21 WEST RD, SUITE 105, BALTIMORE, MD 21204-2325
- **Practice address phone:** (410) 823-9333
- **Practice address fax:** (410) 823-9335
- **Mailing address:** 21 WEST RD, SUITE 105, BALTIMORE, MD 21204-2325
- **Mailing address phone:** (410) 823-9333
- **Mailing address fax:** (410) 823-9335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | D0024017 | MD | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 06/30/2010