Provider Demographics
NPI:1982724274
Name:FEISULLIN, KAREN T
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:T
Last Name:FEISULLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 OLD YORK RD
Mailing Address - Street 2:GROUND FLOOR, TOLL BUILDING
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3720
Mailing Address - Country:US
Mailing Address - Phone:215-481-6784
Mailing Address - Fax:215-481-3611
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:GROUND FLOOR, TOLL BUILDING
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-6784
Practice Address - Fax:215-481-3611
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044537207V00000X
PAMD427418207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology