Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | D34387 | MD |
NPI | 1043790967 |
---|---|
Provider Name | Dr. Karen Diane Weiss |
First Address | Hatfield, PA 19440-1010 |
Second Address | Hatfield, PA 19440-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2018 |
Last Update Date | 20/08/2018 |