1538749213 NPI number — KATHRYN ROSE PAPARELLA

Table of content: KATHRYN ROSE PAPARELLA (NPI 1538749213)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538749213 NPI number — KATHRYN ROSE PAPARELLA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAPARELLA
Provider First Name:
KATHRYN
Provider Middle Name:
ROSE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HASKINS
Provider Other First Name:
KATHRYN
Provider Other Middle Name:
ROSE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1538749213
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1607 COUNTY LINE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VILLANOVA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19085-1938
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-272-0648
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 LANSDOWNE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DARBY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19023-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-237-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2021

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: 207P00000X , with the licence number:  MD486373 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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