Organization
LEO I. KOROTKI, M.D.
Active
Other names
Pain and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO ISRAEL KOROTKI M.D. (OWNER)
(410) 823-9333
Entity
Organization
Contact information
Practice address
21 WEST RD, SUITE 105, BALTIMORE, MD 21204-2325
(410) 823-9333
(410) 823-9335
Mailing address
21 WEST RD, SUITE 105, BALTIMORE, MD 21204-2325
(410) 823-9333
(410) 823-9335
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0024017
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218835
ALLIANCE
MD
01
—
5037
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
03/27/2006
Last updated
06/30/2010
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