Martin Bruce Koretzky in Baltimore - Family
Martin Bruce Koretzky - NPI 1205977204
Martin Bruce Koretzky is a Family in Baltimore, Maryland. Martin Bruce Koretzky practices all healthcare services and medical treatments related to Family. The NPI Number for Martin Bruce Koretzky is 1205977204. The last update date is 2007-07-08.
Martin Bruce Koretzky's current location address is 6513 Gardenwick Rd, Baltimore, Maryland. You can contact this provider via phone number 4108233626. The mailing address for Martin Bruce Koretzky is 6513 Gardenwick Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Bruce Koretzky |
|---|---|
| Address | 6513 Gardenwick Rd, Baltimore, Maryland |
| Phone Number | 4108233626 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1205977204 |
|---|---|
| Provider Enumeration Date | 2007-02-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6513 Gardenwick Rd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212092537 |
| Phone Number | 4108233626 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 1741 |
|
Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
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What is the unique 10-digit identification code assigned to Martin Bruce Koretzky by the Centers for Medicare & Medicaid Services?
The Martin Bruce Koretzky has been issued the NPI (National Provider Identifier) 1205977204, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Martin Bruce Koretzky's facilities are geographically located?
The facilities of Martin Bruce Koretzky are physically situated at the following location: 6513 Gardenwick Rd, Baltimore, MD, 212092537.
What is Martin Bruce Koretzky's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martin Bruce Koretzky's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 103Tf0000X.
On what date did the Martin Bruce Koretzky receive its 1205977204 assignment from the Centers for Medicare & Medicaid Services?
The Martin Bruce Koretzky was assigned its 1205977204 by the Centers for Medicare & Medicaid Services on 2007-02-11.
When was the information related to Martin Bruce Koretzky most recently updated or refreshed?
The details pertaining to the Martin Bruce Koretzky, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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