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Individual

DR. PETER ANTHONY CARAVELLA

Active
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Individual

DR. PETER ANTHONY CARAVELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
10155
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036115137
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
10155
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A100758
CA

Other

Enumeration date
07/27/2007
Last updated
01/27/2011
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