Provider Demographics
NPI:1093987984
Name:VAN WHY, CAROLYN JOYCE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:JOYCE
Last Name:VAN WHY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:207 N BROAD ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1500
Mailing Address - Country:US
Mailing Address - Phone:215-361-5020
Mailing Address - Fax:215-362-1195
Practice Address - Street 1:125 MEDICAL CAMPUS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446
Practice Address - Country:US
Practice Address - Phone:215-361-5020
Practice Address - Fax:215-362-1195
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2023-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD442673207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103012320 0001Medicaid
PA103012320 0001Medicaid