Provider Demographics
NPI:1669667366
Name:GROFT MACFARLANE, CAROLINE (MD, PHD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:GROFT MACFARLANE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1915
Mailing Address - Country:US
Mailing Address - Phone:610-642-1090
Mailing Address - Fax:610-658-5861
Practice Address - Street 1:259 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1915
Practice Address - Country:US
Practice Address - Phone:610-642-1090
Practice Address - Fax:610-658-5861
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT191165207N00000X
PAMD439027207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology