Provider Demographics
NPI:1700223872
Name:MARCELO, CAROLYN J (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:J
Last Name:MARCELO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 980102
Mailing Address - Street 2:VCU DIVISION OF GENERAL INTERNAL MEDICINE
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0102
Mailing Address - Country:US
Mailing Address - Phone:804-828-3144
Mailing Address - Fax:804-828-8660
Practice Address - Street 1:1300 E MARSHALL ST
Practice Address - Street 2:MCV NORTH HOSPITAL
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5054
Practice Address - Country:US
Practice Address - Phone:804-828-3144
Practice Address - Fax:804-828-8660
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2016-06-27
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Provider Licenses
StateLicense IDTaxonomies
VA0101260534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine