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Individual

DR. KAREN R. JOOSTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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