Individual
CHRISTOPHER JOHN CARBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8252
(814) 868-8170
Mailing address
PO BOX 9471, ERIE, PA 16505-8471
(814) 868-8252
(814) 868-8170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS010329L
PA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
OS010329L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017853230005
—
PA
Enumeration date
07/13/2005
Last updated
02/08/2012
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