1134295348 NPI number — KAREN E. FOX,D.O. & ASSOCIATES,P.C.

Table of content: (NPI 1134295348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134295348 NPI number — KAREN E. FOX,D.O. & ASSOCIATES,P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAREN E. FOX,D.O. & ASSOCIATES,P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134295348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1371 BRENTWOOD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YARDLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19067-3925
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-497-3009
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3070 BRISTOL PIKE
Provider Second Line Business Practice Location Address:
BUILDING 2 SUITE 132
Provider Business Practice Location Address City Name:
BENSALEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19020-5364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-638-8568
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FOX
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
EILEEN
Authorized Official Title or Position:
PHYSICIAN PRINCIPAL INVESTIGATOR
Authorized Official Telephone Number:
215-638-8568

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  OS006516L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 350184 . This is a "PABCBS PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".




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