Individual
DR. KEVIN J CORRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
990 RAHWAY AVE, UNION, NJ 07083
(908) 687-1055
(908) 687-9417
Mailing address
990 RAHWAY AVE, UNION, NJ 07083
(908) 687-1055
(908) 687-9417
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15617
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
22DI01561700
NJ
Other
Enumeration date
10/04/2006
Last updated
07/23/2009
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