John Andrew Carollo in Santa Rosa - Geriatric Medicine
John Andrew Carollo - NPI 1558518290
John Andrew Carollo is a Geriatric Medicine in Santa Rosa, California. John Andrew Carollo practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for John Andrew Carollo is 1558518290. The last update date is 2008-08-25.
John Andrew Carollo's current location address is 5555 Montgomery Dr Apt 36, Santa Rosa, California. You can contact this provider via phone number 7075796896. The mailing address for John Andrew Carollo is 5555 Montgomery Dr Apt 36, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Andrew Carollo |
|---|---|
| Address | 5555 Montgomery Dr Apt 36, Santa Rosa, California |
| Phone Number | 7075796896 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558518290 |
|---|---|
| Provider Enumeration Date | 2008-08-25 |
| Last Updated Date | 2008-08-25 |
Provider Mailing Address Detail
| Address | 5555 Montgomery Dr Apt 36 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954095597 |
| Phone Number | 7075796896 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | AFE18635 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the John Andrew Carollo's unique identification number?
The John Andrew Carollo has been assigned the NPI (National Provider Identifier) Number 1558518290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where John Andrew Carollo's facilities are geographically located?
The facilities of John Andrew Carollo are physically situated at the following location: 5555 Montgomery Dr Apt 36, Santa Rosa, CA, 954095597.
What is John Andrew Carollo's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Andrew Carollo's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qg0300X.
When did the John Andrew Carollo receive its 1558518290?
The John Andrew Carollo was issued its 1558518290 on 2008-08-25, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to John Andrew Carollo most recently updated or revised?
The details related to John Andrew Carollo, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-25.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV