Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD4188705 | PA |
Y | 2080P0204X | Pediatric Emergency Doctor | MD4188705 | PA |
NPI | 1205840121 |
---|---|
Provider Name | Michelle M Karten |
First Address | Rockland, DE 19732-0191 |
Second Address | Wynnewood, PA 19096-3442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 18/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001897268 | (05) | PA |
8904707 | (05) | NJ |
H65083 | (02) |