| Doctor Name: | JOSEPH G COROSO |
| NPI Number: | 1407857774 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD020779E |
| Business Practice Address: | 104 Metoxet St Ridgway, PA - 158531932 |
| Business Phone Number: | 8147885555 |
| Business Fax Number: | 8147885655 |
| Mailing Address: | 104 Metoxet St, RIDGWAY |
| State: | PA |
| Postal Code: | 158531932 |
| Phone Number: | 8147885555 |
| Fax Number: | 8147885655 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 03/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD020779E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |