Dr. Carlos A. Tello MD PA
General Practice Physician in Paterson, NJ(View on Map)
Full Name
Dr. Carlos A Tello MD PA
NPI Number
1518978063
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/10/2006
Specialties
(Taxonomies)Code
208D00000X
208600000X
2086S0129X
Primary Taxonomy
Yes
No
No
Licenses
State
New Jersey
License Number
25MA04703100
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2246
356 TOTOWA AVE
City
Paterson
Paterson
State
NJ
NJ
Postal Code
07509-2246
07502-2137
Country
US
US
Telephone Number
(973) 904-0100
(973) 904-0100
Identifiers
Identifier
3736008
Identifier State
NJ
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/16/2016
Provider Address
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