Individual
GARY B KORUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD052688L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014734420001
—
PA
Enumeration date
06/26/2006
Last updated
09/02/2015
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