Individual
DR. CAROL ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 A ST, CLINICAL GENETICS/SCHC, PHILADELPHIA, PA 19134-1043
(215) 427-8337
(215) 427-8904
Mailing address
9 HATHAWAY CIR, WYNNEWOOD, PA 19096-1901
(610) 642-7073
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD030421E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164300504
—
PA
Enumeration date
03/17/2006
Last updated
07/08/2007
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