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Individual
DR. MARK JEFFREY COREY
Active
Individual
DR. MARK JEFFREY COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
216573-1
NY
207Q00000X
Family Medicine Physician
MD-066447L
PA
207Q00000X
Family Medicine Physician
Primary
MD066447L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017395360003
—
PA
05
—
01927182
—
NY
01
—
080173598
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
MEDICARE GROUP
PA
01
—
P00402922
RR MEDICARE PIN
PA
Enumeration date
02/15/2006
Last updated
03/23/2021
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