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Individual

DR. WILHELMINA CORNELIA KOREVAAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BELMONT AVE, SUITE 315, BALA CYNWYD, PA 19004-1617
(610) 660-5088
(610) 660-5105
Mailing address
1 BELMONT AVE, SUITE 315, BALA CYNWYD, PA 19004-1617
(610) 660-5088
(610) 660-5105

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
G41823
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD025169E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1587822
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/14/2010
Last updated
01/14/2010
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