Individual
GLENN CARNICELLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2126
Mailing address
PO BOX 947, CHAMBERSBURG, PA 17201-0947
(717) 263-5562
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS006827L
PA
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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