MEDICARE: KAREN E AGERSBORG DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	0102201612	VA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	OS010570L	PA
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	25MB07086400	NJ

General Provider Information

NPI Number	:	1629069703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN E AGERSBORG DO

Provider Business Mailing Address
First Line	:	1 FEDERAL ST STE 200
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1088
Country	:	US
Telephone Number	:	848-288-6935
Fax Number	:	732-790-0107

Provider Business Practice Location Address
First Line	:	11 VILLAGE DR
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-1939
Country	:	US
Telephone Number	:	609-465-2273
Fax Number	:	609-463-0235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2005
Last Update Date	:	02/27/2025

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