Doctor Name: | MARCIA CORCORAN |
NPI Number: | 1619073855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | UP003000B |
Business Practice Address: | 3200 Oregon Drive Lower Burrell, PA - 15068 |
Business Phone Number: | 8668253227 |
Business Fax Number: | 4843513800 |
Mailing Address: | 161 Washington Street, Eight Tower Bridge, Suite 1400 CONSHOHOCKEN |
State: | PA |
Postal Code: | 19428 |
Phone Number: | 4843513200 |
Fax Number: | 4843513800 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | UP003000B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |