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Individual
GARRY M CARBONE
Active
Individual
GARRY M CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD043165L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012379820008
—
PA
01
—
02867700
CAPITAL BLUE CROSS
PA
01
—
110108413
PALMETTO GBA
PA
01
—
710518
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/09/2006
Last updated
02/16/2024
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