Individual
DR. MARY DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
(505) 246-0687
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
(505) 246-0687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036121207
IL
Other
Enumeration date
07/23/2008
Last updated
06/07/2013
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