Individual
STEFANO R CARPENETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
930 BELLEFONTE AVE, SUITE 108, LOCK HAVEN, PA 17745-2754
(570) 748-8900
(570) 748-3200
Mailing address
930 BELLEFONTE AVE, SUITE 108, LOCK HAVEN, PA 17745-2754
(570) 748-8900
(570) 748-3200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0S007870L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015937360003
—
PA
01
—
180028099
RAILROAD MEDICARE
—
01
—
202951150
GEISINGER HEALTH PLAN
—
Enumeration date
12/04/2006
Last updated
10/20/2022
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