Provider Demographics
NPI:1851467294
Name:CORT, JAMES T (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:CORT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98 S MUNN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-3402
Mailing Address - Country:US
Mailing Address - Phone:973-673-2260
Mailing Address - Fax:973-673-5110
Practice Address - Street 1:98 S MUNN AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3402
Practice Address - Country:US
Practice Address - Phone:973-673-2260
Practice Address - Fax:973-673-5110
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA39303207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
922861OtherHEALTHNET
501743OtherAETNA
4121881OtherCIGNA
0079778OtherGHI
0105129001OtherAMERIHEALTH
D06594Medicare UPIN
0105129001OtherAMERIHEALTH