Individual
CAROL L SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 WALNUT STREET, SUITE 1440, PHILADELPHIA, PA 19107
(215) 928-3105
(215) 928-1140
Mailing address
840 WALNUT STREET, SUITE 1440, PHILADELPHIA, PA 19107
(215) 928-3438
(215) 928-1140
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD031868E
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD031868E
PA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
MD031868E
PA
Other
Enumeration date
10/12/2006
Last updated
02/15/2022
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