# CARLO PORCARO, M.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265553044
- **Authorized official:** DR. CARLO PORCARO M.D. (PRESIDENT)
- **Authorized official phone:** (973) 743-3313

## Contact information

- **Practice address:** 228 N 15TH ST, BLOOMFIELD, NJ 07003-5950
- **Practice address phone:** (973) 743-3313
- **Practice address fax:** (973) 743-1136
- **Mailing address:** 228 N 15TH ST, BLOOMFIELD, NJ 07003-5950
- **Mailing address phone:** (973) 743-3313
- **Mailing address fax:** (973) 743-1136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA01651400 | NJ | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 04/03/2008