Provider Demographics
NPI:1275762122
Name:KARASIK, ANNA N/A (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:N/A
Last Name:KARASIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:N/A
Other - Last Name:KARASIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:655 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1242
Mailing Address - Country:US
Mailing Address - Phone:610-972-9222
Mailing Address - Fax:610-372-0232
Practice Address - Street 1:655 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1242
Practice Address - Country:US
Practice Address - Phone:610-972-9222
Practice Address - Fax:610-372-0232
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446385208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics