Provider Demographics
NPI:1063607406
Name:ALLEN-ARTIGLERE, KARA (DO)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:ALLEN-ARTIGLERE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 SHUNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1659
Mailing Address - Country:US
Mailing Address - Phone:973-377-0702
Mailing Address - Fax:973-377-0217
Practice Address - Street 1:384 SHUNPIKE RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1659
Practice Address - Country:US
Practice Address - Phone:973-377-0702
Practice Address - Fax:973-377-0217
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08211100208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MB08211100OtherLICENSE