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Individual

CARMEN L ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
310909
LA
2085R0202X
Diagnostic Radiology Physician
D0063864
MD
2085R0202X
Diagnostic Radiology Physician
MD035722
DC
2085R0202X
Diagnostic Radiology Physician
MD433679
PA
2085R0202X
Diagnostic Radiology Physician
ME110298
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023801800001
PA
Enumeration date
07/18/2006
Last updated
12/19/2018
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