Healthcare Provider Details

I. General information

NPI: 1548258213
Provider Name (Legal Business Name): CARL JOSEPH CHIAPPETTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CARL JOSEPH CHIAPPETTA M.D.

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 WHITEHORSE MERCERVILLE RD SUITE 202
HAMILTON NJ
08619-3825
US

IV. Provider business mailing address

1675 WHITEHORSE MERCERVILLE RD SUITE 202
HAMILTON NJ
08619-3825
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-1606
  • Fax:
Mailing address:
  • Phone: 609-890-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: