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Individual

DR. MICHAEL EMMANUEL KARELLAS

Active
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Individual

DR. MICHAEL EMMANUEL KARELLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
055043
CT
208800000X
Urology Physician
25MA08557100
NJ
208800000X
Urology Physician
60 241182
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0199770
NJ
01
P00944510
RR MCR PTAN
NJ
Enumeration date
03/01/2007
Last updated
06/12/2023
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