Individual
PAUL CARBONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 ROUTE 168, SUITE F5, TURNERSVILLE, NJ 08012-3233
(856) 232-7500
(856) 232-7506
Mailing address
900 ROUTE 168, SUITE F5, TURNERSVILLE, NJ 08012-3233
(856) 232-7500
(856) 232-7506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA07015900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2619702
—
NJ
Enumeration date
02/02/2006
Last updated
11/06/2011
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