Provider Demographics
NPI:1194726836
Name:MAY, CARL J JR (MD)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:J
Last Name:MAY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:250 FAME AVENUE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331
Mailing Address - Country:US
Mailing Address - Phone:717-637-1919
Mailing Address - Fax:717-637-2326
Practice Address - Street 1:250 FAME AVENUE
Practice Address - Street 2:SUITE 225
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331
Practice Address - Country:US
Practice Address - Phone:717-637-1919
Practice Address - Fax:717-637-2326
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD054628L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03083400OtherCAPITAL BLUE CROSS
PA573524OtherBLUE SHIELD
PA608657Medicare ID - Type UnspecifiedMEDICARE
PA03083400OtherCAPITAL BLUE CROSS