Healthcare Provider Details

I. General information

NPI: 1336108786
Provider Name (Legal Business Name): KARYN J. ISRAEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST SUITE 403
FOUNTAIN HILL PA
18015-1155
US

IV. Provider business mailing address

701 OSTRUM ST SUITE 403
FOUNTAIN HILL PA
18015-1155
US

V. Phone/Fax

Practice location:
  • Phone: 610-867-3115
  • Fax: 610-867-6991
Mailing address:
  • Phone: 610-867-3115
  • Fax: 610-867-6991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD068997L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: