Provider Demographics
NPI:1790770972
Name:KOREY, JOSEPH JOHN JR (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:KOREY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-2952
Mailing Address - Country:US
Mailing Address - Phone:610-374-0970
Mailing Address - Fax:610-372-3564
Practice Address - Street 1:250 N 12TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-2952
Practice Address - Country:US
Practice Address - Phone:610-374-0970
Practice Address - Fax:610-372-3564
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018138E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01163001OtherCAPITAL BLUE CROSS
55676OtherAETNA
PA0006920230001Medicaid
PA109168GWMMedicare ID - Type Unspecified
PA01163001OtherCAPITAL BLUE CROSS