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Individual

MATTHEW P CORSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001720
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022505
NVA
PA
05
1013083160001
PA
01
819424
FIRST PRIORITY
PA
01
94935
GEISINGER
PA
01
CO1744970
BLUE CROSS/BLUE SHIELD
PA
01
PA91720
VBA
PA
Enumeration date
10/04/2006
Last updated
05/21/2026
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