Koretzky, Martin Bruce
Koretzky, Martin Bruce is an sole proprietor health care provider with primary practice located at 10751 Falls Rd , Lutherville MD 21093-4517. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Koretzky, Martin Bruce can be contacted via phone (410) 823-3626.Contact Information
Primary practice address
10751 Falls Rd
Lutherville MD 21093-4517
Phone: (410) 823-3626
Fax: (410) 296-5018
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 1741 | Maryland |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1741 | Maryland |
Behavioral Health & Social Service Providers / Family | 103TF0000X | 1741 | Maryland |
Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 1741 | Maryland |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1741 | Maryland |
Profile Details
NPI number | 1205977204 |
---|---|
LBN Legal business name | Koretzky, Martin Bruce |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 11th, 2007 |
Last updated | Jul 8th, 2007 - 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.
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