Individual
DR. EMILY ANGEL DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3811
(215) 355-4428
(215) 355-0790
Mailing address
319 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3811
(215) 355-4428
(215) 355-0790
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
436540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025119430001
—
PA
Enumeration date
05/09/2007
Last updated
11/29/2021
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