Individual
JOHN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
208 FRUTCHEY CT, MOUNT BETHEL, PA 18343-6237
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN099954L
PA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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