Provider Demographics
NPI:1134327984
Name:GARAY, CARLOS ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ANTONIO
Last Name:GARAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2404
Mailing Address - Country:US
Mailing Address - Phone:973-295-6828
Mailing Address - Fax:
Practice Address - Street 1:48 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2404
Practice Address - Country:US
Practice Address - Phone:973-295-6828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2017-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050912L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology