Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 200301415 | NC |
Y | 208600000X | Surgeon | 200301415 | NC |
N | 2086X0206X | Surgical Oncologist | MD431191 | PA |
NPI | 1023237229 |
---|---|
Provider Name | Karen Stitzenberg |
First Address | Chapel Hill, NC 27516-2539 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 04/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1020334890001 | (05) | PA |