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Individual

DR. GALINA V KORSUNSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2526
(207) 662-6236
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
(207) 482-7898

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD23658
ME
208D00000X
General Practice Physician
240723
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679700587
ME
Enumeration date
06/18/2009
Last updated
08/04/2020
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