Individual
CHRISTIAN CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
63 PITT ST, SHARON, PA 16146-2102
(724) 342-6604
(724) 342-1601
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 342-6604
(724) 342-1601
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36-00-2957
OH
213E00000X
Podiatrist
Primary
SC004315L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01773940
—
PA
05
—
2040115
—
OH
05
—
2104024-000
—
WV
Enumeration date
06/30/2005
Last updated
01/28/2019
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