Individual
CAROL LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5753 WAYNE AVE, PHILADELPHIA, PA 19144
(215) 848-8800
(215) 848-6036
Mailing address
101 EAST OLNEY AVE, 505, PHILADELPHIA, PA 19120
(215) 848-8800
(215) 848-6036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD022256E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007312570004
—
PA
Enumeration date
01/31/2006
Last updated
07/08/2010
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