Individual
KAREN JILL C ICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16605 KENDLE RD, WILLIAMSPORT, MD 21795-1614
(301) 223-1241
(301) 223-1240
Mailing address
16605 KENDLE RD, WILLIAMSPORT, MD 21795-1614
(301) 223-1241
(301) 223-1240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0052136
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401020500
—
MD
Enumeration date
06/30/2006
Last updated
10/16/2012
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