Provider Demographics
NPI:1346288230
Name:ANTELL, KAREN J (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:ANTELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1400 N WASHINGTON ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1024
Mailing Address - Country:US
Mailing Address - Phone:302-255-1358
Mailing Address - Fax:302-255-1355
Practice Address - Street 1:1400 N WASHINGTON ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1024
Practice Address - Country:US
Practice Address - Phone:302-255-1358
Practice Address - Fax:302-255-1355
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0008581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK02882Medicare ID - Type Unspecified
DE081802Medicare Oscar/Certification
G13599Medicare UPIN