Individual
CARLENE A MUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3807
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101262185
VA
207RI0200X
Infectious Disease Physician
Primary
MD057976L
PA
Other
Enumeration date
03/08/2006
Last updated
01/23/2026
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