Individual
PORSCH CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 METEOR CT, PARKVILLE, MD 21234-6027
(267) 879-3509
Mailing address
12 METEOR CT, PARKVILLE, MD 21234-6027
(267) 879-3509
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
0720219199
PA
Other
Enumeration date
02/07/2022
Last updated
07/11/2022
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