Carrillo, Mary

Carrillo, Mary is an individual health care provider with primary practice located at 140 Park Ave , Florham Park NJ 07932-1049. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Carrillo, Mary can be contacted via phone (973) 404-9700.

Contact Information

Primary practice address
140 Park Ave Florham Park NJ 07932-1049
Phone: (973) 404-9700
Fax: (973) 377-4709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NR12741800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NJ00602400 New Jersey

Profile Details

NPI number 1356722268
LBN Legal business name Carrillo, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Jan 11th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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