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Organization

DAVID D CARROZZINO DPM, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID DOMINICK CARROZZINO DPM (OWNER/DOCTOR)
(856) 845-5515
Entity
Organization

Contact information

Practice address
158 DELAWARE ST, WOODBURY, NJ 08096-5921
(856) 845-5515
(856) 853-6890
Mailing address
158 DELAWARE ST, WOODBURY, NJ 08096-5921
(856) 845-5515
(856) 853-6890

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MDO2048
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1687369
AMERIHEALTH PPO GROUP NUM
NJ
01
762090
BLUE SHIELD GROUP NUMBER
NJ
Enumeration date
06/06/2006
Last updated
07/20/2010
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