Organization
CARMEN C. CANLAS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI CARPENTER (OFFICE MANAGER)
(908) 852-8096
Entity
Organization
Contact information
Practice address
5B DOCTOR'S PARK, HACKETTSTOWN, NJ 07840
(908) 852-8096
(908) 852-5012
Mailing address
5B DOCTOR'S PARK, HACKETTSTOWN, NJ 07840
(908) 852-8096
(908) 852-5012
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA02856100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437150711
TYPE I NPI NUMBER
NJ
05
—
6190006
—
NJ
Enumeration date
02/23/2007
Last updated
08/22/2020
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