Individual
MR. COREY JOHN MAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
800 E LANCASTER AVE, VILLANOVA, PA 19085-1478
(610) 519-4907
Mailing address
1600 HADDON AVE FL 3, CAMDEN, NJ 08103-3101
(856) 355-0260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN689099
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15555000
NJ
Other
Enumeration date
02/24/2025
Last updated
04/08/2026
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