Individual
MATTHEW CARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(631) 252-2867
Mailing address
56 MEADOWBROOK DR, HUNTINGTON STATION, NY 11746-2948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3119
MD
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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