Healthcare Provider Details

I. General information

NPI: 1629077334
Provider Name (Legal Business Name): PAUL STUART KARLIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 SHADY LN 2ND FL
HUNTINGDON VALLEY PA
19006-8749
US

IV. Provider business mailing address

PO BOX 820933
PHILA PA
19182-0933
US

V. Phone/Fax

Practice location:
  • Phone: 215-663-9095
  • Fax: 215-663-9578
Mailing address:
  • Phone: 215-663-9095
  • Fax: 215-663-9578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberOS004732L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberOS-004732-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: