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Individual

NEIL J KORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8200
Mailing address
20800 HARVARD RD, 2ND FLR, HIGHLAND HILLS, OH 44122-7251

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-052621
OH
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
35-052621
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000140399
ANTHEM
OH
01
000000221045
UNISON
01
000000523165
ANTHEM
OH
01
0782078
BCMH
OH
05
0782078
OH
01
1052221
AETNA
OH
01
363719
WELLCARE
01
70013560
RAILROAD MEDICARE
OH
01
742146
BUCKEYE
01
P00406580
RAILROAD MEDICARE
OH
Enumeration date
07/18/2006
Last updated
01/05/2021
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