Organization
CARLOS A TELLO, MD PA
Active
Other names
Jen-Car Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A TELLO MD PA (MEDICAL DIRECTOR)
(973) 904-0100
Entity
Organization
Contact information
Practice address
356 TOTOWA AVE, PATERSON, NJ 07502-2137
(973) 904-0100
(973) 595-8286
Mailing address
PO BOX 2246, PATERSON, NJ 07509-2246
(973) 904-0100
(973) 595-8286
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA04703100
NJ
2086S0129X
Vascular Surgery Physician
25MA04703100
NJ
208D00000X
General Practice Physician
Primary
25MA04703100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6688900
—
NJ
Enumeration date
03/08/2007
Last updated
11/16/2016
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