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Individual
GERALD CARNAZZO
Active
Individual
GERALD CARNAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G20693
CA
207Q00000X
Family Medicine Physician
Primary
G20693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G206930
BLUE SHIELD
CA
01
—
930099461
RAILROAD
CA
Enumeration date
08/03/2006
Last updated
09/19/2011
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