Korkowski, Martin Anthony

Korkowski, Martin Anthony is an individual health care provider with primary practice located at 44055 Riverside Parkway, Suite 216 , Leesburg VA 20176-5179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Korkowski, Martin Anthony can be contacted via phone (703) 858-1395.

Contact Information

Primary practice address
44055 Riverside Parkway, Suite 216 Leesburg VA 20176-5179
Phone: (703) 858-1395
Fax: (703) 858-7468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101048127 Virginia

Profile Details

NPI number 1801880752
LBN Legal business name Korkowski, Martin Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 18th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1801880752 NPPES
Virginia MEDICAID 30016354550001
Virginia MEDICAID 010132029
Virginia MEDICAID 1801880752
Virginia Other P00200904

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