Cortese, Gary A

Cortese, Gary A is an sole proprietor health care provider with primary practice located at 1626 Mount Hope Ave , Pottsville PA 17901-1302. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Cortese, Gary A can be contacted via phone (570) 622-2230.

Contact Information

Primary practice address
1626 Mount Hope Ave Pottsville PA 17901-1302
Phone: (570) 622-2230
Fax: (570) 622-5724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC002264L Pennsylvania

Profile Details

NPI number 1497759336
LBN Legal business name Cortese, Gary A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Nov 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497759336 NPPES
Pennsylvania MEDICAID 0012668300003

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