Benedict T. Carota Md A Professional Corporation | |
901 Sunset Dr Ste 1 Hollister CA 95023 | |
(831) 637-1655 | |
(831) 637-6894 |
Full Name | Benedict T. Carota Md A Professional Corporation |
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Speciality | Family Medicine |
Location | 901 Sunset Dr, Hollister, California |
Authorized Official Name and Position | Benedict T. Carota (PRESIDENT) |
Authorized Official Contact | 8316371655 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Benedict T. Carota Md A Professional Corporation 901 Sunset Dr Ste 1 Hollister CA 95023 Ph: (831) 637-1655 | Benedict T. Carota Md A Professional Corporation 901 Sunset Dr Ste 1 Hollister CA 95023 Ph: (831) 637-1655 |
NPI Number | 1043221245 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 03/23/2017 |
Medicare PECOS PAC ID | 5698783579 |
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Medicare Enrollment ID | O20060404000416 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043221245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A363590 (California) | Primary |
Provider Name | Benedict T Carota |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548255029 PECOS PAC ID: 3577587393 Enrollment ID: I20060119000756 |
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