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Contact Information

MAKSIM KOROTUN, DO
3401 N BROAD ST
PHILADELPHIA, PA19140-5103
 Phone: 215-707-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAKSIM KOROTUN · (Male)

NPI Number 1932546801
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/31/2013
Last updated 07/12/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 284738-1
  • PA License # OT015307
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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