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Individual
DR. PHILIP R. CORVO
Active
Individual
DR. PHILIP R. CORVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036513
CT
208600000X
Surgery Physician
036513
CT
2086S0102X
Surgical Critical Care Physician
Primary
036513
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001365130
—
CT
01
—
1190689
USA
CT
01
—
5265654
AETNA
CT
01
—
PENDING
RAILROAD MEDICARE
CT
Enumeration date
09/28/2006
Last updated
05/11/2022
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