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Individual
COREY EPHRUSSI
Active
Individual
COREY EPHRUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT013009
PA
207RR0500X
Rheumatology Physician
Primary
52033
SC
Other
Enumeration date
07/10/2009
Last updated
08/05/2026
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