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Individual

MR. JOSEPH MICHAEL CORCORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
30 S VALLEY RD, STE 102, PAOLI, PA 19301-1469
(610) 647-1996
(610) 408-8677
Mailing address
30 S VALLEY RD, STE 102, PAOLI, PA 19301-1469
(610) 647-1996
(610) 408-8677

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-000620-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000195952
BLUE SHIELD NUMBER
PA
01
244751
MAMSI PROVIDER NUMBER
PA
01
804015
UNITED HEALTHCARE
PA
01
8495471
AETNA PROVIDER NUMBER
PA
01
A522319
OXFORD HEALTH PLANS
PA
Enumeration date
06/23/2005
Last updated
09/13/2007
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