Provider Demographics
NPI:1790714293
Name:KORN, BARRY A (DO)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:A
Last Name:KORN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BRENDAN CT
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2683
Mailing Address - Country:US
Mailing Address - Phone:215-431-9265
Mailing Address - Fax:
Practice Address - Street 1:5 BRENDAN CT
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2683
Practice Address - Country:US
Practice Address - Phone:215-431-9265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007734L208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine