Provider Demographics
NPI:1013244573
Name:CARLO, KRISTEN L (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:L
Last Name:CARLO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:L
Other - Last Name:CARLO-FRANCISCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:109 S MAIN ST STE 19
Mailing Address - Street 2:
Mailing Address - City:CRANBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-3174
Mailing Address - Country:US
Mailing Address - Phone:848-468-1307
Mailing Address - Fax:
Practice Address - Street 1:109 S MAIN ST STE 19
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3174
Practice Address - Country:US
Practice Address - Phone:848-468-1307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB092969002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry