Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 25MA05399500 | NJ |
Y | 207RA0201X | Internist - Allergy & Immunology | MD037839E | PA |
NPI | 1467494096 |
---|---|
Provider Name | Dr. Karin Flynn-Rodden |
First Address | Philadelphia, PA 19148 |
Second Address | Philadelphia, PA 19148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0423341000 | KEYSTONE (01) | PA |
047950 | AETNA (01) | PA |
18348 | AETNA (01) | NJ |
2303818000 | HMO KEYS (01) | NJ |
E41003 | (02) |