Provider Demographics
NPI:1003889361
Name:FOX, KAREN EILEEN (DO)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:EILEEN
Last Name:FOX
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 BRENTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3925
Mailing Address - Country:US
Mailing Address - Phone:215-497-3009
Mailing Address - Fax:
Practice Address - Street 1:10000 ANNS CHOICE WAY
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3527
Practice Address - Country:US
Practice Address - Phone:215-443-3850
Practice Address - Fax:215-443-3963
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006515-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0286192000OtherKEYSTONE
04-34049OtherEVERCARE
0233130001OtherKEYSTONE
FO2047353OtherHIGHMARK BLUE SHIELD
350184OtherPABS
FO2047353OtherHIGHMARK BLUE SHIELD
E52841Medicare UPIN
0233130001OtherKEYSTONE
P00611704Medicare PIN