Provider Demographics
NPI:1033158308
Name:KORMAN, CHARLES HARRIS (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:HARRIS
Last Name:KORMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8 HUNTINGDON PIKE
Mailing Address - Street 2:100
Mailing Address - City:ROCKLEDGE
Mailing Address - State:PA
Mailing Address - Zip Code:19046-4338
Mailing Address - Country:US
Mailing Address - Phone:215-663-8880
Mailing Address - Fax:215-663-8898
Practice Address - Street 1:8 HUNTINGDON PIKE
Practice Address - Street 2:100
Practice Address - City:ROCKLEDGE
Practice Address - State:PA
Practice Address - Zip Code:19046-4338
Practice Address - Country:US
Practice Address - Phone:215-663-8880
Practice Address - Fax:215-663-8898
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS013667207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1894024OtherHIGHMARK BLUE SHIELD
PA1464152OtherAETNA HMO
PA597586OtherMEDICARE GROUP
PAP00416093OtherRAILROAD MEDICARE
PA3Y7846OtherHEALTH NET
PA15793OtherBRAVO HEALTH
PA30041231OtherKMHP
PA450204OtherHEALTH AMERICA
PA7554880OtherAETNA PPO
PA2760579000OtherINDEPENDENCE BLUE CROSS
PA101713292Medicaid
PA30043529OtherKMHP
PA15793OtherBRAVO HEALTH
PA3Y7846OtherHEALTH NET