Provider Demographics
NPI:1861642811
Name:KORT, DANIEL HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:HARRIS
Last Name:KORT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:227 LAUREL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-8303
Mailing Address - Country:US
Mailing Address - Phone:856-669-6025
Mailing Address - Fax:856-651-0794
Practice Address - Street 1:655 SHREWSBURY AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4179
Practice Address - Country:US
Practice Address - Phone:732-758-6511
Practice Address - Fax:732-758-1048
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2014-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09453200207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology