Individual
CAROLINE ANN SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 848-8800
Mailing address
103 MORNING SIDE CIR, DOWNINGTOWN, PA 19335-4454
(484) 252-1392
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061254
PA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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