Individual
CAROL ANN LUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
802 MEADOWBROOK DR, HUNTINGDON VALLEY, PA 19006-6924
(267) 626-2018
(267) 636-5205
Mailing address
802 MEADOWBROOK DR, HUNTINGDON VALLEY, PA 19006-6924
(267) 626-2018
(267) 636-5205
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
MD033514E
PA
207T00000X
Neurological Surgery Physician
MD033514E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001032090001
—
PA
Enumeration date
04/14/2007
Last updated
11/07/2016
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