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Jonathan Mark Korostoff

Periodontist

3400 Spruce St 5 White Building
Philadelphia , Pennsylvania 19104-4206

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Jonathan Mark Korostoff

Periodontist

3400 Spruce St 5 White Building
Philadelphia , Pennsylvania 19104-4206

(215) 662-3580

Write a Review Save Call

Jonathan Mark Korostoff

Periodontist

3400 Spruce St 5 White Building
Philadelphia , Pennsylvania 19104-4206

(215) 662-3580 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Periodontist

Languages spoken

  • English

Location

3400 Spruce St 5 White Building Philadelphia , Pennsylvania 19104-4206

First Address

  • Jonathan Mark Korostoff
  • 3400 Spruce St 5 White Buiding
  • Philadelphia, PA
  • Zip : 19104-4206
  • Phone : (215) 662-3580

Second Address

  • Jonathan Mark Korostoff
  • 3400 Spruce St 5 White Building
  • Philadelphia, PA
  • Zip : 19104-4206
  • Phone : (215) 662-3580

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FAQs


Where did Jonathan Mark Korostoff attend graduate school?

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Where did Jonathan Mark Korostoff do his residency?

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Where did Jonathan Mark Korostoff do his fellowship?

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Is Jonathan Mark Korostoff board certified?

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What type of doctor is Jonathan Mark Korostoff

Periodontist

In what state does Jonathan Mark Korostoff practice in?

Pennsylvania

Where is Jonathan Mark Korostoff ’s practice located?

3400 Spruce St 5 White Building , Philadelphia, Pennsylvania, 19104-4206

What is Jonathan Mark Korostoff ’s gender?

Male

Is Jonathan Mark Korostoff a sole practitioner?

No

Is Jonathan Mark Korostoff accepting new patients?

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What languages does Jonathan Mark Korostoff speak?

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Does Jonathan Mark Korostoff accept insurance?

Yes, Jonathan Mark Korostoff accepts insurance

Does Jonathan Mark Korostoff offers telemedicine?

Jonathan Mark Korostoff has not indicated if he offers telemedicine

What is Jonathan Mark Korostoff ’s professional license number?

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What is Jonathan Mark Korostoff ’s NPI number?

1154358042

Does Jonathan Mark Korostoff have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0300X Periodontist DS024789L PA

National Provider Identifier

NPI 1154358042
Provider Name Jonathan Mark Korostoff
First Address Philadelphia, PA 19104-4206
Second Address Philadelphia, PA 19104-4206
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/06/2006
Last Update Date 02/04/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0014770200001 (05) PA
U42313 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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