Provider Demographics
NPI:1538940341
Name:HOLDSMAN, KARYN FURCOLO (PA)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:FURCOLO
Last Name:HOLDSMAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:CAITLIN
Other - Last Name:FURCOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:124 DOLLY CIR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2311
Mailing Address - Country:US
Mailing Address - Phone:301-807-2228
Mailing Address - Fax:
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA065106207P00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine