Individual
CAROL A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - ADOLESCENT MED, PHILADELPHIA, PA 19104-4319
(215) 590-6864
(215) 590-4708
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD441368
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8933052
—
NC
Enumeration date
10/12/2006
Last updated
04/15/2013
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