Provider Demographics
NPI:1447216825
Name:COSTENBADER, KAREN H (MD MPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:H
Last Name:COSTENBADER
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Gender:F
Credentials:MD MPH
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Mailing Address - Street 1:45 FRANCIS STREET
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSP ROBERT B BRIGHAM ARTHRITIS CTR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-5325
Mailing Address - Fax:
Practice Address - Street 1:45 FRANCIS STREET
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSP ROBERT B BRIGHAM ARTHRITIS CTR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA208218207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology