Individual
SHAWN A, CARNEVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3831
Mailing address
629 STOKES AVE, COLLINGSWOOD, NJ 08108-3040
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB67355
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D07413300
STNA
NJ
01
—
OS009161-L
STATE LICENSE
PA
Enumeration date
10/18/2006
Last updated
03/07/2023
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