Individual
JOHN CARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 MARTIN AVE, SUITE125, EPHRATA, PA 17522-1761
(717) 721-5700
(717) 721-5712
Mailing address
175 MARTIN AVENUE, SUITE 125, EPHRATA, PA 17522-9550
(717) 721-5700
(717) 721-5712
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD043855L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12388180008
—
PA
01
—
1510648
GATEWAY
PA
01
—
160048490
RRMCR
PA
01
—
172492
THREE RIVERS
PA
01
—
4292038
AETNA
PA
01
—
50051206
CAPITAL BLUE CROSS
PA
01
—
662024
BLUE SHIELD
PA
Enumeration date
09/13/2006
Last updated
10/16/2015
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