Dr. Martha Ellen Corcoran
Otolaryngologist (ENT Doctor)
2702 Low Ct
Fairfield
, California 94534-9771
Dr. Martha Ellen Corcoran
Otolaryngologist (ENT Doctor)
2702 Low Ct
Fairfield
, California 94534-9771
(866) 681-0736
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Martha Ellen Corcoran
- 10470 Old Placerville Rd #100
- Sacramento, CA
- Zip : 95827-2539
- Phone : (866) 681-0736
Second Address
- Dr. Martha Ellen Corcoran
- 2702 Low Ct
- Fairfield, CA
- Zip : 94534-9771
- Phone : (707) 427-4900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G064295 | CA |
National Provider Identifier
| NPI | 1063487825 |
|---|---|
| Provider Name | Dr. Martha Ellen Corcoran |
| First Address | Sacramento, CA 95827-2539 |
| Second Address | Fairfield, CA 94534-9771 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 12/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G642950 | (05) | CA |
| F36139 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.