Individual
DR. CARMELO PINGOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 RAYMOND BLVD, NEWARK, NJ 07102-4199
(973) 596-3857
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06244900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6954201
—
NJ
Enumeration date
12/19/2005
Last updated
02/22/2008
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