Individual
CAROL MORECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
400 EASTERN SHORE DR, SALISBURY, MD 21804
(410) 543-8240
(410) 543-8640
Mailing address
400 EASTERN SHORE DR, P.O. BOX 49, SALISBURY, MD 21804-5565
(410) 749-0821
(410) 219-5662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000657
MD
363AM0700X
Medical Physician Assistant
C0000657
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765991100
—
MD
Enumeration date
06/05/2006
Last updated
08/17/2018
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