Individual
DR. KRISTOPHER PAUL KORSAKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 STATE ROUTE 94, SUITE 1A, VERNON, NJ 07462
(973) 864-6029
(973) 864-1010
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(845) 987-3901
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
235632
NY
207RG0100X
Gastroenterology Physician
Primary
MA72514
NJ
207RG0100X
Gastroenterology Physician
MD425976
PA
Other
Enumeration date
04/26/2006
Last updated
08/02/2016
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