Organization
JERRY L. CORRECES,MD.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L. CORRECES M.D. (PRESIDENT)
(301) 797-4593
Entity
Organization
Contact information
Practice address
1124 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 797-4593
(301) 665-9440
Mailing address
1124 OPAL CT, HAGERSTOWN, MD 21740-5940
(301) 797-4593
(301) 665-9440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110068995
MEDICARE RAILROAD
—
Enumeration date
01/28/2008
Last updated
03/05/2008
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