Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 62141 | CT |
N | 208600000X | Surgeon | 62141 | CT |
N | 2086X0206X | Surgical Oncologist | 55265 | WI |
Y | 2086X0206X | Surgical Oncologist | 62141 | CT |
NPI | 1184880171 |
---|---|
Provider Name | Carrie B Carsello |
First Address | New Britain, CT 06053-4325 |
Second Address | Albany, NY 12208-3412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 27/12/2018 |