Provider Demographics
NPI:1265590368
Name:BUTLER, KAREN ANN (CARDIO VASCULAR)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:CARDIO VASCULAR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SWATHMORE DR
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3928
Mailing Address - Country:US
Mailing Address - Phone:973-534-0816
Mailing Address - Fax:
Practice Address - Street 1:200 SWATHMORE DR
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3928
Practice Address - Country:US
Practice Address - Phone:973-534-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0000012024246X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular