Provider Demographics
NPI:1922334093
Name:COREN, CHARNA M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARNA
Middle Name:M
Last Name:COREN
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 1:12265 TOWNSEND RD
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-1201
Mailing Address - Country:US
Mailing Address - Phone:215-856-1010
Mailing Address - Fax:
Practice Address - Street 1:7901 BUSTLETON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19152-3328
Practice Address - Country:US
Practice Address - Phone:215-543-0060
Practice Address - Fax:215-543-0099
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449582207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology