Individual
MRS. CAROL N MARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5401 OLD YORK RD, KLEIN 300, PHILA, PA 19141-3030
(215) 456-7190
(215) 456-3419
Mailing address
101 E OLNEY AVE, SUITE 400, PHILA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP006965C
PA
Other
Enumeration date
02/08/2007
Last updated
03/29/2011
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