Provider Demographics
NPI:1578591954
Name:CARNIOL, PAUL (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:CARNIOL
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:33 OVERLOOK RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3570
Mailing Address - Country:US
Mailing Address - Phone:908-598-1400
Mailing Address - Fax:908-598-0777
Practice Address - Street 1:33 OVERLOOK RD
Practice Address - Street 2:SUITE 401
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3570
Practice Address - Country:US
Practice Address - Phone:908-598-1400
Practice Address - Fax:908-598-0777
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04250100208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE13083Medicare UPIN
NJ010832Medicare ID - Type Unspecified