Individual
CAROL ANN PASQUARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD030931E
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD030931E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011151660
—
PA
01
—
802300EJL
MEDICARE PTAN
PA
Enumeration date
08/15/2006
Last updated
12/30/2022
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