Individual
CAROLYN MAE PETERSEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 HAMILTON BLVD STE 250, ALLENTOWN, PA 18103-3694
(610) 437-0739
Mailing address
707 HAMILTON ST FL 8, ALLENTOWN, PA 18101-2407
(484) 862-3001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD485063
PA
207Q00000X
Family Medicine Physician
MT223953
PA
Other
Enumeration date
06/14/2021
Last updated
08/30/2024
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