Healthcare Provider Details

I. General information

NPI: 1508346701
Provider Name (Legal Business Name): CHRISTINE FISCHER BULDO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE ANNE FISCHER PA-C

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 ST LUKES DRIVE
QUAKERTOWN PA
18951
US

IV. Provider business mailing address

701 OSTRUM STREET SUITE 501
BETHLEHEM PA
18015
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-3648
  • Fax: 866-926-4988
Mailing address:
  • Phone: 484-526-3648
  • Fax: 866-926-4988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA060188
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MD00499400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA0046141
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA060188
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: