Provider Demographics
NPI:1821424292
Name:MCSORLEY, KAREN ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:MCSORLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 829641
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-9641
Mailing Address - Country:US
Mailing Address - Phone:672-370-5296
Mailing Address - Fax:215-230-3725
Practice Address - Street 1:599 W STATE ST STE 207
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:215-345-2100
Practice Address - Fax:215-345-2110
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056440363AM0700X
NJ25MP00318400363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical