Provider Demographics
NPI:1972501377
Name:IANIERI, CAROLYN E (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:E
Last Name:IANIERI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:708 N SHADY RETREAT RD
Mailing Address - Street 2:STE 7
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2503
Mailing Address - Country:US
Mailing Address - Phone:215-340-2229
Mailing Address - Fax:215-340-1753
Practice Address - Street 1:708 N SHADY RETREAT RD
Practice Address - Street 2:STE 7
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2503
Practice Address - Country:US
Practice Address - Phone:215-340-2229
Practice Address - Fax:215-340-1753
Is Sole Proprietor?:No
Enumeration Date:2005-07-09
Last Update Date:2010-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAH22007207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
040446N63Medicare ID - Type Unspecified
H22007Medicare UPIN