Individual
CARISSA TAROLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
189 E MARKET ST, WILKES BARRE, PA 18702-5243
(570) 846-2720
Mailing address
189 E MARKET ST, WILKES BARRE, PA 18702-5243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017175
NY
363AM0700X
Medical Physician Assistant
Primary
MA058557
PA
Other
Enumeration date
11/04/2013
Last updated
03/09/2023
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