Organization
GLORIA KORTA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA KORTA M.D. (PRESIDENT)
(781) 729-1930
Entity
Organization
Contact information
Practice address
77 SWANTON ST, SUITE 2, WINCHESTER, MA 01890-2039
(781) 729-1930
(781) 729-1499
Mailing address
77 SWANTON ST, SUITE 2, WINCHESTER, MA 01890-2039
(781) 729-1930
(781) 729-1499
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
55524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055524
TUFTS
—
01
—
130283
HARVARD PILGRIM
—
01
—
139591
HEALTHSOURCE
—
05
—
3053474
—
MA
01
—
93731
US HEALTHCARE
—
01
—
J08323
BLUE CROSS
—
Enumeration date
08/21/2006
Last updated
08/22/2020
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