Individual
TIMOTHY CORCORAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
238 BROOKLEY AVE, BOLLING AFB, DC 20032
(202) 404-5526
Mailing address
7309 BURTONWOOD DR, ALEXANDRIA, VA 22307-2023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101040906
VA
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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