Individual
PAUL CARBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
522 BRICK BLVD, BRICK, NJ 08723-6089
(732) 240-2545
(732) 475-6265
Mailing address
522 BRICK BLVD, BRICK, NJ 08723-6089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00022300
NJ
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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