Individual
MR. THOMAS JOSEPH CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 N BROAD ST, RM 821, PHILA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
1104 HAWORTH ST, PHILADELPHIA, PA 19124-2506
(267) 975-8251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
06/09/2008
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