Individual
DR. THOMAS BRIAN CORTELLESI
Active
Individual
DR. THOMAS BRIAN CORTELLESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102037199
VA
207RG0100X
Gastroenterology Physician
Primary
0102037199
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226888
ANTHEM BCBS
—
05
—
5831636
—
VA
05
—
6000379-000
—
WV
05
—
64666183
—
KY
Enumeration date
11/16/2005
Last updated
07/11/2007
Update your record
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