Provider Demographics
NPI:1114088200
Name:CAREY, DAVID MARK (CPED ANAPLASTOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MARK
Last Name:CAREY
Suffix:
Gender:M
Credentials:CPED ANAPLASTOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 OAKSHADE RD
Mailing Address - Street 2:
Mailing Address - City:SHAMONG
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-9532
Mailing Address - Country:US
Mailing Address - Phone:856-534-6987
Mailing Address - Fax:
Practice Address - Street 1:533 OAKSHADE RD
Practice Address - Street 2:
Practice Address - City:SHAMONG
Practice Address - State:NJ
Practice Address - Zip Code:08088-9532
Practice Address - Country:US
Practice Address - Phone:856-534-6987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist