Individual
SANDRA D CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
874 N 30TH ST, PHILADELPHIA, PA 19130-1104
(973) 931-0071
Mailing address
874 N 30TH ST, PHILADELPHIA, PA 19130-1104
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QB00363500
NJ
208100000X
Physical Medicine & Rehabilitation Physician
TE013290
PA
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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