Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD464394 | PA |
N | 111NI0900X | Internist | MD464394 | PA |
Y | 207RI0200X | Infectious Disease | 25MA10931200 | NJ |
N | 207RI0200X | Infectious Disease | MD464394 | PA |
NPI | 1093159592 |
---|---|
Provider Name | Karen Young Ha |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103-1438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2013 |
Last Update Date | 30/11/2020 |