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Individual

DR. DAVID D CARROZZINO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
158 DELAWARE ST, WOODBURY, NJ 08096-5921
(856) 845-5515
(856) 853-6890
Mailing address
158 DELAWARE ST, WOODBURY, NJ 08096-5921
(856) 845-5515
(856) 853-6890

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MDO2048
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0113356000
AMERIHEALTH HMO PIN
NJ
01
2360167000
AMERIHEALTH HMO GROUP #
NJ
05
4992105
NJ
Enumeration date
07/21/2005
Last updated
07/09/2007
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