Provider Demographics
NPI:1538692975
Name:TELESMANICK, KARA L (MD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:L
Last Name:TELESMANICK
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 1:36 S WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-2704
Mailing Address - Country:US
Mailing Address - Phone:774-644-7757
Mailing Address - Fax:
Practice Address - Street 1:201 TOMLIN STATION RD
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-1612
Practice Address - Country:US
Practice Address - Phone:856-241-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11022600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine