MEDICARE: KAREN SEGAL NP

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	363LW0102X	Women's Health Nurse Practitioner	SP013290	PA

General Provider Information

NPI Number	:	1699163188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN SEGAL NP

Provider Business Mailing Address
First Line	:	800 WALNUT ST
Second Line	:	11TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5176
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 ROUTE 70 E
Second Line	:	SUITE 250
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-2013
Country	:	US
Telephone Number	:	856-433-2650
Fax Number	:

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

Provider Enumeration Date	:	01/06/2015
Last Update Date	:	09/30/2016

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