Individual
DR. ANTOINETTE KORC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9400
Mailing address
17 N BALCH ST, HANOVER, NH 03755-1502
(603) 643-7669
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
12214
NH
207ND0101X
MOHS-Micrographic Surgery Physician
A40956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010352
—
VT
05
—
30204136
—
NH
Enumeration date
09/28/2006
Last updated
07/08/2007
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