NPI 1003387572

Carissa Susan McIlwain, PAC

Practitioner Obstetrics & Gynecology Physician Bala Cynwyd, PA

Practice location

Address: 25 Bala Ave STE 205, Bala Cynwyd, PA 19004-3215
Phone: (610) 667-6363
Mailing address: 19 Old Oaks Rd, Bryn Mawr, PA 19010-1024

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence OA002318 (PA)

Other Obstetrics & Gynecology providers in Pennsylvania →

Registry record

NPI: 1003387572
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2018
Record last updated: 10 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.