Individual
CHRISTOPHER CARACCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 S GREENE ST RM N3E09, BALTIMORE, MD 21201-1544
(631) 335-2661
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
91333
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
05/06/2024
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