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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN MARK KOROSTOFF, DMD

Active

JONATHAN MARK KOROSTOFF, DMD is a Periodontology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1154358042 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PHILADELPHIA, PA

Registration Details

NPI Number
1154358042
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2006 (20.099913362307 yrs)
Last Updated
Apr 2, 2013
License
DS024789L (PA)

Practice Information

Address
3400 SPRUCE ST
5 WHITE BUILDING
PHILADELPHIA, PA, 191044206
Browse PA providers · Browse ZIP 19104
Phone
2156623580
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in PHILADELPHIA, PA

Name Credential NPI
DR. KENNETH WILLIAM LAUDENBACH D.D.S. 1265453187
JAY B LAUDENBACH D.M.D. 1780608620
DR. LOUIS FRANK ROSE D.D.S., M.D. 1427062512
BARRY L PORTEN D.D.S. 1730197880
DR. ROBERT A LEVINE DDS, PC 1144306275
DR. ERIC SCOTT BROCKMAN DMD, MSD 1336211614
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.