Detrizio Carotenuto, Isabel

Detrizio Carotenuto, Isabel is an sole proprietor health care provider with primary practice located at 24 Heritage Dr , East Hanover NJ 07936-3930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is her primary health care specialty. Detrizio Carotenuto, Isabel can be contacted via phone (973) 884-3155.

Contact Information

Primary practice address
24 Heritage Dr East Hanover NJ 07936-3930
Phone: (973) 884-3155
Fax: (973) 884-3523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MAO45465 New Jersey
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X MAO45465 New Jersey

Profile Details

NPI number 1376622159
LBN Legal business name Detrizio Carotenuto, Isabel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Aug 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376622159 NPPES
New Jersey MEDICAID 156 6202

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