Provider Demographics
NPI:1225095656
Name:PUOPOLO, KAREN (MD PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:PUOPOLO
Suffix:
Gender:F
Credentials:MD PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:WANAMAKER BLDG - 9TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:800 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-6130
Practice Address - Country:US
Practice Address - Phone:215-829-3191
Practice Address - Fax:215-829-7211
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2013-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4502482080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine