Individual
DR. CARLOS A TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
356 TOTOWA AVE, PATERSON, NJ 07502-2137
(973) 904-0100
(973) 595-8286
Mailing address
PO BOX 2246, PATERSON, NJ 07509-2246
(973) 904-0100
(973) 595-8286
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA04703100
NJ
2086S0129X
Vascular Surgery Physician
25MA04703100
NJ
208D00000X
General Practice Physician
Primary
25MA04703100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3736008
—
NJ
Enumeration date
08/10/2006
Last updated
11/16/2016
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