Provider Demographics
NPI:1316950132
Name:KORMAN, MICHAEL J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:KORMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1503 LANSDOWNE AVE
Mailing Address - Street 2:SUITE 3007
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1330
Mailing Address - Country:US
Mailing Address - Phone:610-534-6140
Mailing Address - Fax:610-534-6144
Practice Address - Street 1:1503 LANSDOWNE AVE
Practice Address - Street 2:SUITE 3007
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1330
Practice Address - Country:US
Practice Address - Phone:610-534-6140
Practice Address - Fax:610-534-6144
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2021-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD028037E207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA516335OtherAETNA US HEALTHCARE
PA0111471209OtherAMERICHOICE
PA290002553OtherPALMETTO RAILROAD
PA516335OtherHIGHMARK BLUE SHIELD
PA0110914000OtherINDEPENDENCE BLUE CROSS
PA31903BOtherKEYSTONE MERCY HEALTH PLN
PA0011147120001Medicaid
PA2Y5711OtherELDERHEALTH
PA516335OtherCIGNA INS CO
NJ7936907Medicaid
PADES139OtherOXFORD HEALTH PLAN
PAE64186OtherSENIORPARTNERS HEALTHPART
NJ7936907Medicaid
PA0110914000OtherINDEPENDENCE BLUE CROSS