Provider Demographics
NPI:1205827490
Name:CORRY, JAMES (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:CORRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3550 MARKET ST FL 3
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - ALLERGY & IMMUN
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3365
Practice Address - Country:US
Practice Address - Phone:215-590-2549
Practice Address - Fax:215-590-4529
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2013-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR8310207K00000X
PAMD4320672080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2722V34311OtherHEALTHCARE USA
2722V34311OtherHEALTHCARE USA
MO329562451Medicare PIN
MOA13917Medicare UPIN