Individual
DR. MARA SELENE KARAMITOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 WALNUT ST, SUITE 801, PHILADELPHIA, PA 19107-5005
(215) 977-1500
Mailing address
1600 ARCH ST APT 1011, PHILADELPHIA, PA 19103-2009
(215) 313-6434
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MT186052
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT186052
MEDICAL TRAINING LICENSE
PA
Enumeration date
06/08/2007
Last updated
08/29/2022
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