Individual
ELIZABETH CARAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 W HUNTING PARK AVE, SUITE 300A, PHILADELPHIA, PA 19140-2717
(215) 324-0600
(215) 324-2795
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053308L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001478841
—
PA
01
—
100727800
TPI MEDICAID GROUP
PA
01
—
597586
TPI MEDICARE GROUP
PA
01
—
CD4828
TPI RAILROAD MEDICARE GROUP
PA
Enumeration date
04/17/2007
Last updated
02/14/2013
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