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Contact Information

ANTHONY J DECARLO JR
4510 PENNSYLVANIA AVE STE C
CHARLESTON, WV25302-4835
 Phone: 304-965-9081
 Fax: 304-346-1860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ANTHONY J DECARLO JR · (Male)

NPI Number 1952907453
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2020
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 48239
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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