Organization
LEO I. KOROTKI, M.D.
Active
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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