Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | OS019265 | PA |
NPI | 1467792796 |
---|---|
Provider Name | Hilary Marie Caruso Sales |
First Address | Elkins Park, PA 19027-2239 |
Second Address | Elkins Park, PA 19027-2239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2013 |
Last Update Date | 03/10/2018 |