Organization
KRISTOPHER KORSAKOFF MD LLC
Active
Organization
KRISTOPHER KORSAKOFF MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER PAUL KORSAKOFF M.D. (OWNER)
(973) 864-6029
Entity
Organization
Contact information
Practice address
212 STATE ROUTE 94, SUITE 1A, VERNON, NJ 07462
(973) 864-6029
(973) 209-1895
Mailing address
P.O BOX 949, VERNON, NJ 07462
(973) 864-6029
(973) 209-1895
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA72514
NJ
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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