Individual
DR. VANESSA S. CARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT STREET EAST, SUITE 300, PHILADELPHIA, PA 19107-4405
(215) 861-8800
(215) 861-8815
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2007014586
MO
208D00000X
General Practice Physician
Primary
MD426498
PA
208M00000X
Hospitalist Physician
MD426498
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207281700
—
MO
Enumeration date
08/10/2006
Last updated
08/30/2011
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