MEDICARE: MARJORIE CARO MD

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
1	2084P0800X	Psychiatry Physician	25MA07612900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902811490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE CARO MD

Provider Business Mailing Address
First Line	:	5860 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3363
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5860 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-3363
Country	:	US
Telephone Number	:	609-992-3332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	01/28/2010

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Directions to “ MARJORIE CARO MD” Practice Location

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