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TIMOTHY CORCORAN M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1972595155

Individual Registrant:
 TIMOTHY  CORCORAN M.D.
Gender: M

Location and contact information for practice:
238 BROOKLEY AVE  BOLLING AFB, DC 20032 US
Tel: 202-404-5526  Fax: --

Contact information for business:
7309 BURTONWOOD DR  ALEXANDRIA, VA 22307-2023 US
Tel: --  Fax: --

Registration Information:
NPI: 1972595155
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
VA0101040906

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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