Provider Demographics
NPI:1508346701
Name:BULDO, CHRISTINE FISCHER (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:FISCHER
Last Name:BULDO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ANN
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:701 OSTRUM STREET
Mailing Address - Street 2:SUITE 501
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:484-526-3648
Mailing Address - Fax:866-926-4988
Practice Address - Street 1:3000 ST LUKES DRIVE
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951
Practice Address - Country:US
Practice Address - Phone:484-526-3648
Practice Address - Fax:866-926-4988
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
NJ25MD00499400363AM0700X
PAOA0046141363AM0700X
PAMA060188363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical