Provider Demographics
NPI:1841262227
Name:CONTOREGGI, CARLO SALVATORE (MD)
Entity type:Individual
Prefix:DR
First Name:CARLO
Middle Name:SALVATORE
Last Name:CONTOREGGI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR
Mailing Address - Street 2:2110
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:2001 HYGIENE RADNUC MED
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-550-0214
Practice Address - Fax:410-550-2997
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2017-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0031489207RE0101X, 207U00000X
MDD344892085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD300130429OtherRRMC
MD392471800Medicaid
MD300130429OtherRRMC
MDKR80JHC923Medicare PIN
DC2849OtherB/C B/S
MD392471800Medicaid