Provider Demographics
NPI:1235357674
Name:CARBONARI, CLAUDIA MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:MARY
Last Name:CARBONARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39 HAMPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3074
Mailing Address - Country:US
Mailing Address - Phone:860-633-9522
Mailing Address - Fax:860-657-3667
Practice Address - Street 1:39 HAMPSHIRE DR
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-3074
Practice Address - Country:US
Practice Address - Phone:860-633-9522
Practice Address - Fax:860-657-3667
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0276182084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry