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NPI Code Detail

MEDICARE: ROGER S KARP DDS, MSD

MEDICARE: ROGER S KARP DDS, MSD
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
11223P0300XPeriodontics30016077OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568470391
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER S KARP DDS, MSD
Provider Business Mailing Address
First Line : 6835 BROADWAY AVE
Second Line : METROHEALTH BROADWAY HEALTH CENTER
City : CLEVELAND
State : OH
Zip : 44105-1313
Country : US
Telephone Number : 216-957-4090
Fax Number :
Provider Business Practice Location Address
First Line : 6835 BROADWAY AVE
Second Line : METROHEALTH BROADWAY HEALTH CENTER
City : CLEVELAND
State : OH
Zip : 44105-1313
Country : US
Telephone Number : 216-957-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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