Dr. Carol A Blank
Adolescent Medicine
11 Hunters Trl
Gettysburg
, Pennsylvania 17325-7281
Dr. Carol A Blank
Adolescent Medicine
11 Hunters Trl
Gettysburg
, Pennsylvania 17325-7281
(717) 334-0730
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Carol A Blank
- 11 Hunters Trl
- Gettysburg, PA
- Zip : 17325-7281
- Fax : (717) 334-0730
- Phone : (717) 334-7681
Second Address
- Dr. Carol A Blank
- 11 Hunters Trl
- Gettysburg, PA
- Zip : 17325-7281
- Fax : (717) 334-0730
- Phone : (717) 334-7681
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | MD069190L | PA |
National Provider Identifier
| NPI | 1043202047 |
|---|---|
| Provider Name | Dr. Carol A Blank |
| First Address | Gettysburg, PA 17325-7281 |
| Second Address | Gettysburg, PA 17325-7281 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 19/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0017562320001 | (05) | PA |
| F89021 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.