Individual
BROOKLEY CARLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1426 BROAD RIPPLE AVE, STE 200, INDIANAPOLIS, IN 46220-2002
(317) 621-3680
(317) 621-3689
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01089090A
IN
208000000X
Pediatrics Physician
036.149277
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
12/08/2022
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