Individual
CAROLYN T PEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
645 WESTWOOD AVE FL 2, RIVER VALE, NJ 07675-6295
(201) 666-1000
Mailing address
6045 KENNEDY BLVD STE B, NORTH BERGEN, NJ 07047-3246
(201) 854-4255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11070200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800473
—
NJ
Enumeration date
02/08/2017
Last updated
12/26/2023
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