Individual
CARMELO GULLOTTO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4461
Mailing address
PO BOX 19368, RALEIGH, NC 27619-9368
(919) 787-8221
(919) 789-4461
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1348N
BLUECROSS BLUESHIELD
NC
01
—
3554448
AETNA
NC
01
—
3554449
AETNA
NC
01
—
3573307
AETNA
NC
01
—
759869
CIGNA
NC
05
—
891348N
—
NC
01
—
D4955
MEDCOST
NC
01
—
D5157
MEDCOST
NC
01
—
D5158
MEDCOST
NC
01
—
P00166494
RAILROAD MEDICARE
NC
01
—
P00226873
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
07/08/2007
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