Provider Demographics
NPI:1093817280
Name:HARKAWAY, KAREN S (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:HARKAWAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 ROUTE 130 SOUTH
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-1870
Mailing Address - Country:US
Mailing Address - Phone:856-461-1400
Mailing Address - Fax:856-461-2366
Practice Address - Street 1:8001 ROUTE 130 SOUTH
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1870
Practice Address - Country:US
Practice Address - Phone:856-461-1400
Practice Address - Fax:856-461-2366
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05903200207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1868251007OtherCIGNA
NJ2K2321OtherHEALTHNET
NJP2789178OtherOXFORD
NJ2299556OtherGHI
NJ2997969OtherAETNA
NJ2997969OtherAETNA
NJ2K2321OtherHEALTHNET