Individual
DR. CAROL FELISA ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
764 KENNEDY ST, SUITE 101, MEADVILLE, PA 16335-2209
(814) 373-2195
(814) 373-2197
Mailing address
1034 GROVE ST, CBO, MEADVILLE, PA 16335-2945
(814) 373-2923
(814) 333-5640
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD420301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019347910003
—
PA
01
—
1427232
SELECT BLUE
PA
01
—
319230
UPMC NUMBER
PA
01
—
440004052
RAILROAD MEDICARE
PA
01
—
EN122227
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
10/13/2005
Last updated
07/01/2014
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