Basic Information
Provider Information
NPI: 1134202286
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARANIKOLAS
FirstName: STEVEN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 227 LAUREL RD STE 300
Address2:  
City: VOORHEES
State: NJ
PostalCode: 080438303
CountryCode: US
TelephoneNumber: 8566696050
FaxNumber: 8565283117
Practice Location
Address1: 620 CRANBURY RD STE LL90
Address2:  
City: EAST BRUNSWICK
State: NJ
PostalCode: 088164098
CountryCode: US
TelephoneNumber: 7322570081
FaxNumber: 7326134845
Other Information
ProviderEnumerationDate: 10/23/2006
LastUpdateDate: 02/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X25MA04246100NJN Other Service ProvidersSpecialist 
207VX0000X25MA04246100NJY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics

No ID Information.


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