Individual
DR. COREY STEFAN BROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 COTTMAN AVE, SUITE 201, PHILADELPHIA, PA 19111-1232
(215) 742-9900
Mailing address
700 COTTMAN AVE, SUITE 201, PHILADELPHIA, PA 19111-1232
(215) 742-9900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MT185415
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102132146000
—
PA
Enumeration date
05/11/2007
Last updated
08/19/2008
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