Individual
DR. STEPHEN BARRY KORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 KENT PLACE BLVD, SUMMIT, NJ 07901-4703
(908) 522-0640
(908) 522-6677
Mailing address
115 KENT PLACE BLVD, SUMMIT, NJ 07901-4703
(908) 522-0640
(908) 522-6677
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI01131100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI01131100
NEW JERSEY DENTAL LICENCE
NJ
Enumeration date
10/21/2008
Last updated
10/21/2008
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