Individual
DR. KAREN R. JOOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4020 N ROXBORO ST, DURHAM, NC 27704-2120
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201101747
NC
2080A0000X
Pediatric Adolescent Medicine Physician
MD428382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376512582
CORPORATE OFFICE NPI
PA
01
—
1679503346
SERVICE LOCATION NPI
PA
01
—
MD428382
MED LICENSE
PA
Enumeration date
06/15/2007
Last updated
03/17/2014
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