Individual
GREGORY CARBONELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 268-2848
Mailing address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(504) 268-2848
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.208119
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2009
Last updated
02/06/2017
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