# GLORIA KORTA, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154437549
- **Authorized official:** DR. GLORIA KORTA M.D. (PRESIDENT)
- **Authorized official phone:** (781) 729-1930

## Contact information

- **Practice address:** 77 SWANTON ST, SUITE 2, WINCHESTER, MA 01890-2039
- **Practice address phone:** (781) 729-1930
- **Practice address fax:** (781) 729-1499
- **Mailing address:** 77 SWANTON ST, SUITE 2, WINCHESTER, MA 01890-2039
- **Mailing address phone:** (781) 729-1930
- **Mailing address fax:** (781) 729-1499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 55524 | MA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 055524 | TUFTS | — |
| 01 | — | 130283 | HARVARD PILGRIM | — |
| 01 | — | 139591 | HEALTHSOURCE | — |
| 05 | — | 3053474 | — | MA |
| 01 | — | 93731 | US HEALTHCARE | — |
| 01 | — | J08323 | BLUE CROSS | — |