Individual
MICHAEL N CORRADETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 6TH AVE W, HENDERSONVILLE, NC 28739-4137
(828) 696-1330
(828) 696-1075
Mailing address
3400 SPRUCE ST, 1 MALONEY, PHILADELPHIA, PA 19104-4206
(215) 662-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT192993
PA
2085R0001X
Radiation Oncology Physician
Primary
2015-02227
NC
2085R0001X
Radiation Oncology Physician
254795
MA
2085R0001X
Radiation Oncology Physician
MD441200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCR270B
MEDICARE
NC
Enumeration date
06/25/2008
Last updated
06/06/2019
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