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Contact Information

MARIE L CARILLO, MD
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA19104-4319
 Phone: 215-590-4040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARIE L CARILLO · (Female)

NPI # 1225416779
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2015
Last updated 09/19/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA11550000
  • PA License # MD478361
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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