Provider Demographics
NPI:1437290079
Name:KORMAN, LINDA Z (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:Z
Last Name:KORMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:Z
Other - Last Name:KORMANSPIEGEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:350 SUNRISE WAY
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-3715
Mailing Address - Country:US
Mailing Address - Phone:732-261-7209
Mailing Address - Fax:
Practice Address - Street 1:350 SUNRISE WAY
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-3715
Practice Address - Country:US
Practice Address - Phone:732-261-7209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04650400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC 63295Medicare UPIN