Provider Demographics
NPI:1164455093
Name:FOSCALDO, KAREN M (DO)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:FOSCALDO
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 1:1045 BUSTLETON PIKE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7676
Mailing Address - Country:US
Mailing Address - Phone:215-364-2158
Mailing Address - Fax:215-364-2414
Practice Address - Street 1:1045 BUSTLETON PIKE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7676
Practice Address - Country:US
Practice Address - Phone:215-364-2158
Practice Address - Fax:215-364-2414
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008277L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07645OtherHEALTH PARTNERS
PA1075266OtherKEYSTONE MERCY
PA20045125OtherAMERIHEALTH MERCY
PA001585396Medicaid
PA0986074000OtherKEYSTONE IBC
PA452729OtherAETNA CONTRACT
PA873516OtherHIGHMARK BLUE SHIELD
PAPA0028854OtherTRICARE
PA873516OtherPERSONAL CHOICE
PA5355504OtherCIGNA
PA930050067OtherRAILROAD MEDICARE
PA0015853960002Medicaid
PA873516OtherPERSONAL CHOICE
PA07645OtherHEALTH PARTNERS
PA0015853960007Medicaid
PA1075266OtherKEYSTONE MERCY
PA452729OtherAETNA CONTRACT
PA0015853960007Medicaid