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Individual

ELIZABETH J CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
471 PEQUEA AVE, HONEY BROOK, PA 19344
(610) 273-2429
(610) 273-3798
Mailing address
471 PEQUEA AVE, P.O. BOX460, HONEY BROOK, PA 19344
(610) 273-2429
(610) 273-3798

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004211L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006823860003
PA
Enumeration date
12/19/2005
Last updated
07/09/2007
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