Provider Demographics
NPI:1417204264
Name:DR. KARA ALLEN-ARTIGLERE, DO LLC
Entity Type:Organization
Organization Name:DR. KARA ALLEN-ARTIGLERE, DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEN-ARTIGLERE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-787-7178
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-11
Last Update Date:2012-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08211100208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty