Individual
BENEDICT T CAROTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 SUNSET DR, STE 1, HOLLISTER, CA 95023-5613
(831) 637-1655
(831) 637-6894
Mailing address
901 SUNSET DR, STE 1, HOLLISTER, CA 95023-5613
(831) 637-1655
(831) 637-6894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A36359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A363590
—
CA
Enumeration date
09/12/2005
Last updated
07/08/2007
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