Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD073779L | PA |
NPI | 1154393205 |
---|---|
Provider Name | Karen Houck |
First Address | Philadelphia, PA 19129-1302 |
Second Address | Philadelphia, PA 19140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 08/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H50628 | (02) | NJ |
MD073770L | GYN ONCOLOGY (01) | PA |