Individual
DR. CAROL A BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 HUNTERS TRL, GETTYSBURG, PA 17325-7281
(717) 334-7681
(717) 334-0730
Mailing address
11 HUNTERS TRL, GETTYSBURG, PA 17325-7281
(717) 334-7681
(717) 334-0730
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD069190L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017562320001
—
PA
Enumeration date
08/17/2005
Last updated
02/19/2013
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