Individual
CAROLYN BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1770 BATHGATE RD STE 401, BETHLEHEM, PA 18017-7334
(484) 884-8840
(484) 884-8827
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-0661
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MB09350900
NJ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
036137699
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
OS019448
PA
Other
Enumeration date
10/02/2013
Last updated
10/17/2018
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