Individual
ANA J CORCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
(610) 954-5810
(610) 954-5480
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD048691L
PA
207LP3000X
Pediatric Anesthesiology Physician
25MA06159200
NJ
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD048691L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015238670
—
PA
01
—
476508EJL
MEDICARE ID
PA
Enumeration date
08/15/2006
Last updated
06/23/2022
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