Individual
MR. JOSEPH MICHAEL CARBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 819-5133
Mailing address
115 S THOMAS AVE, EDWARDSVILLE, PA 18704-4418
(570) 331-2931
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002931-L
PA
Other
Enumeration date
07/27/2006
Last updated
07/09/2007
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