Individual
KIMBERLEY CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
885 E GLEN AVE, RIDGEWOOD, NJ 07450-2925
(201) 388-9504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00893400
NJ
363A00000X
Physician Assistant
Primary
MA064253
PA
Other
Enumeration date
12/15/2022
Last updated
01/02/2025
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