Individual
CAROL L PESEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4745 OGLETOWN STANTON RD, SUITE 134, NEWARK, DE 19713-2067
(302) 452-3000
(302) 452-3003
Mailing address
102 HOYLAKE CT, AVONDALE, PA 19311-9638
(610) 880-6404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051531
PA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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