Provider Demographics
NPI:1588215891
Name:CHIARELLO, KARLA
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:
Last Name:CHIARELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KARLA
Other - Middle Name:LORENA
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39 N CLINTON AVE BLDG 1
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08609-1011
Mailing Address - Country:US
Mailing Address - Phone:609-394-9398
Mailing Address - Fax:609-396-2670
Practice Address - Street 1:39 N CLINTON AVE BLDG 1
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08609-1011
Practice Address - Country:US
Practice Address - Phone:609-394-9398
Practice Address - Fax:609-396-2670
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator