Provider Demographics
NPI:1275611345
Name:SENFT, CARL J (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:J
Last Name:SENFT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1809 STATE ROUTE 33
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4801
Mailing Address - Country:US
Mailing Address - Phone:732-774-5566
Mailing Address - Fax:732-988-7574
Practice Address - Street 1:1809 STATE ROUTE 33
Practice Address - Street 2:SUITE 1
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4801
Practice Address - Country:US
Practice Address - Phone:732-774-5566
Practice Address - Fax:732-988-7574
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07284000207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2K0129OtherHEALTHNET
487B02OtherEMPIRE
7943292OtherAETNA
NJ8757402Medicaid
NJ08-02352OtherEVERCARE/ERICKSON
NJ08-02352OtherEVERCARE/ERICKSON
NJ050410CNXMedicare ID - Type Unspecified