Love, Carol

Love, Carol is an individual health care provider with primary practice located at 5753 Wayne Ave , Philadelphia PA 19144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Love, Carol can be contacted via phone (215) 848-8800.

Contact Information

Primary practice address
5753 Wayne Ave Philadelphia PA 19144
Phone: (215) 848-8800
Fax: (215) 848-6036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD022256E Pennsylvania

Profile Details

NPI number 1770554313
LBN Legal business name Love, Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770554313 NPPES
Pennsylvania MEDICAID 007312570004

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