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Contact Information

KRISTOPHER P KORSAKOFF, MD
212 STATE ROUTE 94
SUITE 1A
VERNON TOWNSHIP, NJ07462
 Phone: 973-864-6029
 Fax: 973-864-1010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for KRISTOPHER P KORSAKOFF · (Male)

NPI # 1174589246
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2006
Last updated 08/02/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA72514
  • NY License # 235632
  • PA License # MD425976
Hospital affiliation(s)
  • BON SECOURS COMMUNITY HOSPITAL - (Acute Care)
    160 EAST MAIN STREET
    PORT JERVIS, NY 12771
  • ST ANTHONY COMMUNITY HOSPITAL - (Acute Care)
    15 - 19 MAPLE AVENUE
    WARWICK, NY 10990
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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