Individual
DR. COREY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, STE 8490 GIBBON, PHILADELPHIA, PA 19107-4824
(215) 955-6161
Mailing address
111 S 11TH ST, STE 8490 GIBBON, PHILADELPHIA, PA 19107-4824
(215) 955-6161
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT188292
PA
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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