Individual
DR. GARY A CORTESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1626 MOUNT HOPE AVE, POTTSVILLE, PA 17901-1302
(570) 622-2230
(570) 622-5724
Mailing address
48 TUNNEL RD, SUITE 203, POTTSVILLE, PA 17901-3875
(570) 622-0473
(570) 624-4116
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC002264L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012668300003
—
PA
Enumeration date
06/09/2005
Last updated
11/20/2012
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