Provider Demographics
NPI:1720312325
Name:BIGELOW, KAREN SMITH (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SMITH
Last Name:BIGELOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1590 MEDICAL DRIVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19467
Mailing Address - Country:US
Mailing Address - Phone:610-326-4980
Mailing Address - Fax:610-326-4435
Practice Address - Street 1:1590 MEDICAL DRIVE
Practice Address - Street 2:SUITE E
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19467
Practice Address - Country:US
Practice Address - Phone:610-326-4980
Practice Address - Fax:610-326-4435
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042146E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics