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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CFE25279 (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.