| John A Carollo Dmd Pa | |
|
131 Columbia Turnpike Suite 2a Florham Park NJ 07932 | |
| (973) 377-5117 | |
| (973) 377-4942 |
| Full Name | John A Carollo Dmd Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 131 Columbia Turnpike, Florham Park, New Jersey |
| Authorized Official Name and Position | John A. Carollo (OWNER/DENTIST) |
| Authorized Official Contact | 9733775117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Carollo Dmd Pa 131 Columbia Tpke Suite 2a Florham Park NJ 07932-2181 Ph: (973) 377-5117 | John A Carollo Dmd Pa 131 Columbia Turnpike Suite 2a Florham Park NJ 07932 Ph: (973) 377-5117 |
| NPI Number | 1790182426 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 11/24/2014 |
| Medicare PECOS PAC ID | 1153649512 |
|---|---|
| Medicare Enrollment ID | O20150414002734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790182426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 223D01467100 (New Jersey) | Primary |
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