Healthcare Provider Details

I. General information

NPI: 1518995547
Provider Name (Legal Business Name): KAREN WHITE DAVID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4870 YORK ROAD BOX 665
BUCKINGHAM PA
18912
US

IV. Provider business mailing address

740 PENLLYN BLUE BELL PIKE
BLUE BELL PA
19422-1651
US

V. Phone/Fax

Practice location:
  • Phone: 215-794-3305
  • Fax: 215-794-3361
Mailing address:
  • Phone: 215-646-0274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD063229L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: