Provider Demographics
NPI:1902198237
Name:COROTTO, PAUL SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SAMUEL
Last Name:COROTTO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:777 TOWNSHIP LINE RD FL 1
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5552
Mailing Address - Country:US
Mailing Address - Phone:215-860-0775
Mailing Address - Fax:215-860-1907
Practice Address - Street 1:777 TOWNSHIP LINE RD FL 1
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5552
Practice Address - Country:US
Practice Address - Phone:215-860-0775
Practice Address - Fax:215-860-1907
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2023-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD453395207RC0000X
NJ25MA11299400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease