Individual
DR. CARLTON TAYLOR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
299422
NY
208600000X
Surgery Physician
MT199811
PA
2086S0129X
Vascular Surgery Physician
Primary
299422
NY
Other
Enumeration date
08/09/2011
Last updated
01/19/2022
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