Individual
MR. CARLO OPONT
Active
Individual
MR. CARLO OPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
012311
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00194200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075829
NCCPA CERT
NJ
Enumeration date
04/03/2008
Last updated
04/18/2016
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