Brotz, Corey Stefan
Brotz, Corey Stefan is an individual health care provider with primary practice located at 700 Cottman Ave Suite 201, Philadelphia PA 19111-1232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brotz, Corey Stefan can be contacted via phone (215) 742-9900.Contact Information
Primary practice address
700 Cottman Ave Suite 201
Philadelphia PA 19111-1232
Phone: (215) 742-9900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MT185415 | Pennsylvania |
Profile Details
| NPI number | 1609081041 |
|---|---|
| LBN Legal business name | Brotz, Corey Stefan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Aug 19th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609081041 | NPPES |
| Pennsylvania | MEDICAID | 102132146000 |
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