Individual
MARTIN JAHES CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 STATION RD, LINCOLN PARK, NJ 07035-1749
(973) 628-8442
(973) 628-9516
Mailing address
29 STATION RD, LINCOLN PARK, NJ 07035-1749
(973) 628-8442
(973) 628-9516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03621100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1960105
—
NJ
Enumeration date
09/22/2006
Last updated
11/25/2009
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