Individual
DR. PHILIP ALFRED DI CARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-6500
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
(410) 356-8186
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D73899
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054879100
—
MD
Enumeration date
04/11/2008
Last updated
02/28/2013
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