Healthcare Provider Details

I. General information

NPI: 1639193543
Provider Name (Legal Business Name): HENRY KARCSH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 E BALTIMORE PIKE
KENNETT SQUARE PA
19348
US

IV. Provider business mailing address

891 E BALTIMORE PIKE
KENNETT SQUARE PA
19348
US

V. Phone/Fax

Practice location:
  • Phone: 610-444-0113
  • Fax: 610-444-0744
Mailing address:
  • Phone: 610-444-0113
  • Fax: 610-444-0744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS-004156-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC2-0002005
License Number StateDE

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: