MEDICARE: JUSTIN KARL M.D.

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	207RC0000X	Cardiovascular Disease Physician	MD451250	PA
2	207R00000X	Internal Medicine Physician	253312-1	NY
3	207RC0000X	Cardiovascular Disease Physician	25MA09469700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD451250	OTHER	PA	STATE MEDICAL LICENSE
2	25MA09469700	OTHER	NJ	STATE MEDICAL LICENSE
3	1275582270	OTHER	PA	NPI
4	1548509185	OTHER	PA	NPI
5	1124369822	OTHER	NJ	NPI

General Provider Information

NPI Number	:	1134366958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN KARL M.D.

Provider Business Mailing Address
First Line	:	104 PHEASANT RUN
Second Line	:	SUITE 129
City	:	NEWTOWN
State	:	PA
Zip	:	18940-3439
Country	:	US
Telephone Number	:	215-860-3344
Fax Number	:	215-860-8950

Provider Business Practice Location Address
First Line	:	3140 PRINCETON PIKE
Second Line	:	2ND FLOOR
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2330
Country	:	US
Telephone Number	:	609-895-1919
Fax Number	:	609-890-1200

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

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	09/08/2014

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Directions to “ JUSTIN KARL M.D.” Practice Location

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