Peter A Koretsky Md Pa in Melbourne - Gastroenterology
Peter A Koretsky Md Pa - NPI 1124117791
Peter A Koretsky Md Pa is a Gastroenterology in Melbourne, Florida. Peter A Koretsky Md Pa practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Peter A Koretsky Md Pa is 1124117791. The last update date is 2014-03-28.
Peter A Koretsky Md Pa's current location address is 2955 Pineda Plaza Way Ste 115, Melbourne, Florida. You can contact this provider via phone number 3212547375 and fax number 3212547145. The mailing address for Peter A Koretsky Md Pa is 2955 Pineda Plaza Way Ste 115, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peter A Koretsky Md Pa |
|---|---|
| Address | 2955 Pineda Plaza Way Ste 115, Melbourne, Florida |
| Phone Number | 3212547375 |
| Fax Number | 3212547145 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Koretsky A Peter |
| Credentials | MD |
| Telephone Number | 3212547375 |
NPI Number Detail
| NPI Number | 1124117791 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2014-03-28 |
Provider Mailing Address Detail
| Address | 2955 Pineda Plaza Way Ste 115 |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329407306 |
| Phone Number | 3212547375 |
| Fax Number | 3212547145 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2734737 | FL | -- |
Post Comment/ Review Below
What is the Peter A Koretsky Md Pa's unique identification number?
The Peter A Koretsky Md Pa has been assigned the NPI (National Provider Identifier) Number 1124117791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Peter A Koretsky Md Pa is physically located?
The Peter A Koretsky Md Pa is physically situated at the following address: 2955 Pineda Plaza Way Ste 115, Melbourne, FL, 329407306.
What is Peter A Koretsky Md Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter A Koretsky Md Pa is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.
When did the Peter A Koretsky Md Pa receive its 1124117791?
The Peter A Koretsky Md Pa was issued its 1124117791 on 2006-10-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Peter A Koretsky Md Pa last refreshed?
The information related to the Peter A Koretsky Md Pa, including its address, specialty, and other relevant details, was last updated on 2014-03-28.
NPI Number: 1447253448
Address: 4420 E Miraloma Ave Ste F, Anaheim, CA