Provider Demographics
NPI:1326068172
Name:CARATOZZOLO, CARMELO F (DC)
Entity Type:Individual
Prefix:DR
First Name:CARMELO
Middle Name:F
Last Name:CARATOZZOLO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 OCCOQUAN OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6107
Mailing Address - Country:US
Mailing Address - Phone:703-491-9355
Mailing Address - Fax:703-490-2298
Practice Address - Street 1:14111 MINNIEVILLE RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2312
Practice Address - Country:US
Practice Address - Phone:703-491-9355
Practice Address - Fax:703-490-2298
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001578111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA232010OtherANTHEM ID NUMBER
VA5202419OtherAETAN PPO ID NUMBER
VA839304OtherAETNA HMO NUMBER
VA839304OtherAETNA HMO NUMBER
VA839304OtherAETNA HMO NUMBER