Provider Demographics
NPI:1225671316
Name:PAUL CARNIOL MD FACS PC
Entity Type:Organization
Organization Name:PAUL CARNIOL MD FACS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNIOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-598-1400
Mailing Address - Street 1:33 OVERLOOK RD STE 401
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3564
Mailing Address - Country:US
Mailing Address - Phone:908-598-1400
Mailing Address - Fax:908-598-0777
Practice Address - Street 1:33 OVERLOOK RD STE 401
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3564
Practice Address - Country:US
Practice Address - Phone:908-598-1400
Practice Address - Fax:908-598-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty