Carolyn S Repke in Philadelphia - Ophthalmic Plastic And Reconstructive Surgery
Carolyn S Repke - NPI 1093716532
Carolyn S Repke is a Ophthalmic Plastic And Reconstructive Surgery in Philadelphia, Pennsylvania. Carolyn S Repke practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Carolyn S Repke is 1093716532. The last update date is 2020-01-13.
Carolyn S Repke's current location address is 1930 S Broad St Unit 9, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153398100 and fax number 2153398103. The mailing address for Carolyn S Repke is 1930 S Broad St Unit 9, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn S Repke |
|---|---|
| Address | 1930 S Broad St Unit 9, Philadelphia, Pennsylvania |
| Phone Number | 2153398100 |
| Fax Number | 2153398103 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093716532 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2020-01-13 |
Provider Mailing Address Detail
| Address | 1930 S Broad St Unit 9 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191452328 |
| Phone Number | 2153398100 |
| Fax Number | 2153398103 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | MD051481L |
|
Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 161265 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carolyn S Repke by the Centers for Medicare & Medicaid Services?
The Carolyn S Repke has been issued the NPI (National Provider Identifier) 1093716532, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carolyn S Repke is geographically located?
The Carolyn S Repke is physically situated at the following location: 1930 S Broad St Unit 9, Philadelphia, PA, 191452328.
What is Carolyn S Repke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carolyn S Repke's area of specialization is Ophthalmic Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Wx0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093716532 to Carolyn S Repke?
The Centers for Medicare & Medicaid Services originally issued the 1093716532 to Carolyn S Repke on 2005-08-09.
As of what date was the information pertaining to Carolyn S Repke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolyn S Repke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-13.
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