Individual
MATTHEW THOMAS KOROSCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433-5529
(210) 916-2153
(210) 916-0709
Mailing address
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35135125
OH
208D00000X
General Practice Physician
0101255503
VA
Other
Enumeration date
04/11/2012
Last updated
07/10/2019
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