Doctor Name: | KATHERINE ANN WORTHINGTON |
NPI Number: | 1205132081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA054007 |
Business Practice Address: | 2500 English Creek Ave Bldg 800 Egg Harbor Twp, NJ - 082345549 |
Business Phone Number: | 8003219999 |
Business Fax Number: | 6096776061 |
Mailing Address: | 2500 English Creek Ave, Bldg 800 EGG HARBOR TWP |
State: | NJ |
Postal Code: | 082345549 |
Phone Number: | 8003219999 |
Fax Number: | 6096776061 |
NPI Enumeration Date: | 01/27/2011 |
NPI Last Update Date: | 09/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA054007 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |