Individual
DR. BALTAZAR L CORCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
531 HANNAH ST, CLEARFIELD, PA 16830-1209
(814) 765-1982
(814) 765-8213
Mailing address
809 TURNPIKE AVE, CLEARFIELD, PA 16830-1232
(814) 768-2356
(814) 768-2134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD031136L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006187790004
—
PA
05
—
0006187790005
—
PA
Enumeration date
05/15/2006
Last updated
08/01/2012
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