Individual
RICARDO CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6012 MAIN STREET, VOORHEES, NJ 08043
(856) 325-6622
(856) 325-6522
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA06319600
NJ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
NJMA63196
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094687000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
010003742
AMERICHOICE
NJ
01
—
1105869
HORIZON NJ HEALTH
NJ
01
—
1949172
UNITED HEALTHCARE
NJ
01
—
2207042/7597015
AETNA
NJ
01
—
24212
UNIVERSITY HEALTH PLAN
NJ
01
—
3K7732
HEALTHNET
NJ
05
—
7780702
—
NJ
01
—
9402184
CIGNA
NJ
01
—
P2704813
OXFORD
NJ
Enumeration date
09/15/2006
Last updated
07/25/2016
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