Individual
RICHARD CARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(610) 523-8695
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD829825E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010017000005
—
PA
01
—
0046831000
KHPE
PA
01
—
11381157
TRI-CARE
PA
01
—
2798007
AETNA/ USHC
PA
01
—
432642
PA BCBS
PA
Enumeration date
06/05/2006
Last updated
08/27/2007
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