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Organization
GARRY M CARBONE MD PC
Active
Organization
GARRY M CARBONE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY M CARBONE MD (OWNER PROVIDER)
(610) 379-4740
Entity
Organization
Contact information
Practice address
179 DELAWARE AVE, PALMERTON, PA 18071-1728
(610) 379-4740
(610) 379-4745
Mailing address
179 DELAWARE AVE, PALMERTON, PA 18071-1728
(610) 379-4740
(610) 379-4745
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD043165L
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012379820010
—
PA
01
—
02867700
CAPITAL BLUE CROSS
PA
01
—
110108413
PALMETTO GBA
PA
01
—
710518
HIGHMARK BLUE SHIELD
PA
01
—
F16780
UPIN
PA
Enumeration date
03/30/2007
Last updated
03/13/2023
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