Individual provider · Type 1 NPI

Vincent Joseph Carollo, MD

Specialist · Upland, CA

NPI number 1962721662 Active

Practice location

1643 N 1st Ave
Upland, CA 91784-2006

Fax (909) 985-5200

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCFE25279 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962721662

Vincent Joseph Carollo, MD's National Provider Identifier is 1962721662, issued on May 20, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Upland, CA. The record was last updated on May 20, 2010.