Individual
CAROLYN SHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-1622
(215) 707-0943
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A144580
CA
207R00000X
Internal Medicine Physician
Primary
MD491888C
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
94940
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD491888C
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME176086
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
01
—
XI890
HFMG
FL
Enumeration date
06/25/2015
Last updated
05/15/2026
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