| Anna M. Korkis Md Pa | |
|
206 Dayton St Ridgewood NJ 07450-4409 | |
| (201) 444-0009 | |
| (201) 444-2181 |
| Full Name | Anna M. Korkis Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 206 Dayton St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Anna M Korkis (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2014440009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna M. Korkis Md Pa 206 Dayton St Po Box 0495 Ridgewood NJ 07450-4409 Ph: (201) 444-0009 | Anna M. Korkis Md Pa 206 Dayton St Ridgewood NJ 07450-4409 Ph: (201) 444-0009 |
| NPI Number | 1144528142 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/01/2011 |
| Medicare PECOS PAC ID | 4082897988 |
|---|---|
| Medicare Enrollment ID | O20110331000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144528142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA054387 (New Jersey) | Primary |
| Provider Name | Anna Maria Korkis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912014887 PECOS PAC ID: 5991988891 Enrollment ID: I20110331000166 |
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