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NPI Code Detail

MEDICARE: MONICA L CARRERO D.P.T.

MEDICARE: MONICA L CARRERO D.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01134400NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5P00409301OTHERNJRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12481470OTHERNJUHC PROVIDER NUMBER
23708343OTHERNJAETNA PROVIDER NUMBER
36697131OTHERNJGHI PROVIDER NUMBER
49362671OTHERNJPHCS PROVIDER NUMBER

General Provider Information

NPI Number : 1750390324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA L CARRERO D.P.T.
Provider Business Mailing Address
First Line : 1401 VALLEY RD STE 2002ND
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2073
Country : US
Telephone Number : 201-485-3340
Fax Number :
Provider Business Practice Location Address
First Line : 1401 VALLEY RD STE 2002ND
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2073
Country : US
Telephone Number : 201-485-3340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 11/30/2018

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