Organization
DENEEN C DICARLO MD INC A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENEEN C DICARLO MD (RHEUMATOLOGIST)
(718) 490-7013
Entity
Organization
Contact information
Practice address
901 OAK PARK BLVD, SUITE 101, PISMO BEACH, CA 93449-3408
(805) 489-8039
Mailing address
901 OAK PARK BLVD, SUITE 101, PISMO BEACH, CA 93449-3408
(805) 489-8039
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A98771
CA
Other
Enumeration date
08/12/2008
Last updated
01/13/2012
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