Individual
PHILIP CHARLES CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8600 OLD GEORGETOWN ROAD, BETHESDA, MD 20814
(301) 896-7610
(301) 896-7626
Mailing address
PO BOX 791372, BALTIMORE, MD 21279-1372
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D0038159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411094300
—
MD
05
—
415096100
—
MD
Enumeration date
11/06/2006
Last updated
04/22/2020
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