Healthcare Provider Details

I. General information

NPI: 1841923356
Provider Name (Legal Business Name): JUSTYNA JOLANTA KACAROW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-2200
US

IV. Provider business mailing address

559 W GERMANTOWN PIKE
EAST NORRITON PA
19403-4250
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-4050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC7-0019436
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19096
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: