1932300399 NPI number — DR. KAREN MARIE WARDLAW MD, MPH,FACP, FACOEM

Table of content: DR. KAREN MARIE WARDLAW MD, MPH,FACP, FACOEM (NPI 1932300399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932300399 NPI number — DR. KAREN MARIE WARDLAW MD, MPH,FACP, FACOEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WARDLAW
Provider First Name:
KAREN
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH,FACP, FACOEM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GARVEY
Provider Other First Name:
KAREN
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, MPH, FACP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932300399
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MEDCOR@NOVARTIS PHARMACEUTICALS
Provider Second Line Business Mailing Address:
ONE HEALTH PLAZA, BUILDING 125
Provider Business Mailing Address City Name:
EAST HANOVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07936-1080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
862-778-3722
Provider Business Mailing Address Fax Number:
973-781-6504

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MEDCOR@NOVARTIS PHARMACEUTICALS
Provider Second Line Business Practice Location Address:
ONE HEALTH PLAZA, BUILDING 125
Provider Business Practice Location Address City Name:
EAST HANOVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07936-1080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
862-778-3722
Provider Business Practice Location Address Fax Number:
973-781-6504
Provider Enumeration Date:
05/31/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  25MA07304000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2083P0500X , with the licence number: 25MA07304000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)