Basic Information
| Provider Information | |||||||||
| NPI: | 1558399717 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOX | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | C. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | P. O. BOX 8500 - 6335 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191780001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158078000 | ||||||||
| FaxNumber: | 2158078235 | ||||||||
| Practice Location | |||||||||
| Address1: | 1627 CHEW ST | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181023648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6109693390 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2006 | ||||||||
| LastUpdateDate: | 09/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 09/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS009973L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0017355190004 | 05 | PA | MEDICAID | 0017355190006 | 05 | PA | MEDICAID | 0017355190005 | 05 | PA | MEDICAID | 35651 | 01 | PA | HEALTH PARTNERS | OTHER | 977185 | 01 | PA | PERSONAL CHOICE | OTHER | P00296387 | 01 | PA | RAILROAD MEDICARE | OTHER | 00175355190007 | 05 | PA | MEDICAID | 30010987 | 01 | PA | KEYSTONE MERCY | OTHER | 977185 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 0735768000 | 01 | PA | KEYSTONE, IBC | OTHER | 2063963 | 01 | PA | UNITED HEALTHCARE | OTHER | 2365272 | 01 | PA | AETNA HMO | OTHER | 01735519-07 | 01 | PA | AMERICHOICE | OTHER | 7345111 | 01 | PA | AETNA PPO | OTHER |