Individual provider · Type 1 NPI

Carolyn Fallstick, PA-C

Medical Physician Assistant · Wynnewood, PA

NPI number 1811145733 Active

Practice location

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Mailing address

1735 Mcnelis Dr
Southampton, PA 18966-4051

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA053526 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1811145733

Carolyn Fallstick, PA-C's National Provider Identifier is 1811145733, issued on Sep 4, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wynnewood, PA. The record was last updated on Sep 22, 2015.