Provider Demographics
NPI:1720095383
Name:BART DEGREGORIO AND GILBERT CARLEVARO PTRS ECHO ECHO
Entity Type:Organization
Organization Name:BART DEGREGORIO AND GILBERT CARLEVARO PTRS ECHO ECHO
Other - Org Name:ECHO ECHO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARLEVARO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:973-743-2233
Mailing Address - Street 1:733 BLOOMFIELD AVE.
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003
Mailing Address - Country:US
Mailing Address - Phone:973-743-2233
Mailing Address - Fax:
Practice Address - Street 1:733 BLOOMFIELD AVE.
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003
Practice Address - Country:US
Practice Address - Phone:973-743-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty