Individual
DR. MAKSIM KOROTUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042-1102
(516) 465-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT015307
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
284738-1
NY
207RP1001X
Pulmonary Disease Physician
Primary
284738-1
NY
Other
Enumeration date
05/31/2013
Last updated
07/12/2019
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