Healthcare Provider Details
I. General information
NPI: 1740504547
Provider Name (Legal Business Name): KAREN JAMES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2010
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA-RHEUMATOLOGY
PHILADELPHIA PA
19104-4319
US
IV. Provider business mailing address
3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA-RHEUMATOLOGY
PHILADELPHIA PA
19104-4319
US
V. Phone/Fax
- Phone: 215-590-2547
- Fax: 215-590-4750
- Phone: 215-590-2547
- Fax: 215-590-4750
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0216X |
| Taxonomy | Pediatric Rheumatology Physician |
| License Number | 9818318-1205 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: