Individual
MR. VICTOR JOSEPH CARBONE
Active
Individual
MR. VICTOR JOSEPH CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5097
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0520667
—
MA
01
—
107826
AMISYT HMO BLUE
—
01
—
CAW04795
BLUE CROSS
MA
Enumeration date
07/17/2006
Last updated
07/08/2007
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