Individual
CAROLYN MARIE BARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 CORNWALL RD, SUITE 101, LEBANON, PA 17042-7480
(717) 675-1788
(717) 675-1800
Mailing address
1701 CORNWALL RD, SUITE 101, LEBANON, PA 17042-7480
(717) 675-1788
(717) 675-1800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001901L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50070971
CAPITAL BLUECROSS
PA
Enumeration date
05/04/2006
Last updated
10/21/2016
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