Individual
GARRY M CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
281 N 12TH ST STE C, LEHIGHTON, PA 18235-1101
(610) 379-4740
(610) 379-4745
Mailing address
281 N 12TH ST STE C, LEHIGHTON, PA 18235-1101
(610) 379-4740
(610) 379-4745
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD043165L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012379820008
—
PA
01
—
02867700
CAPITAL BLUE CROSS
PA
01
—
110108413
PALMETTO GBA
PA
01
—
710518
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/09/2006
Last updated
02/16/2024
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