Provider Demographics
NPI:1043260250
Name:CARTA, MARIA C (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:CARTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:C
Other - Last Name:CARTA-MANGIONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:663 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2013
Mailing Address - Country:US
Mailing Address - Phone:609-567-6042
Mailing Address - Fax:609-567-2722
Practice Address - Street 1:25 LEXINGTON CT
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3701
Practice Address - Country:US
Practice Address - Phone:609-567-6042
Practice Address - Fax:609-567-2722
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0523722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2266709Medicaid
NJ2266709Medicaid
NJ402053AT5Medicare ID - Type Unspecified