Nathanson, Katherine L

Nathanson, Katherine L is an individual health care provider with primary practice located at 3400 Civic Center Blvd 1St Floor, Suite 300 S, Philadelphia PA 19104-4306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Nathanson, Katherine L can be contacted via phone (215) 662-4740.

Contact Information

Primary practice address
3400 Civic Center Blvd 1St Floor, Suite 300 S Philadelphia PA 19104-4306
Fax: (215) 614-0298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD059456L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD059456L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD059456L Pennsylvania

Profile Details

NPI number 1841226024
LBN Legal business name Nathanson, Katherine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841226024 NPPES
Pennsylvania MEDICAID 0017645000001
Pennsylvania MEDICAID 0092941

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