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Contact Information

KRISTOPHER KORSAKOFF MD LLC
212 STATE ROUTE 94
SUITE 1A
VERNON TOWNSHIP, NJ07462
 Phone: 973-864-6029
 Fax: 973-209-1895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for KRISTOPHER KORSAKOFF MD LLC · (Female)

NPI # 1447371927
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MA72514
Hospital affiliation(s) Not Available
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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