Healthcare Provider Details

I. General information

NPI: 1679776850
Provider Name (Legal Business Name): KAREN TAVERNA-MILLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 EATON AVE FL 1
BETHLEHEM PA
18018-1832
US

IV. Provider business mailing address

701 OSTRUM ST SUITE 203
FOUNTAIN HILL PA
18015-1155
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-7474
  • Fax: 610-861-8104
Mailing address:
  • Phone: 610-691-3603
  • Fax: 610-861-8104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD427986
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: