Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD036972L | PA |
N | 111NI0900X | Internist | MD036972L | PA |
Y | 207RH0000X | Hematologist | MD036972L | PA |
N | 207RX0202X | Medical Oncology | MD036972L | PA |
NPI | 1295759413 |
---|---|
Provider Name | Dr. Jaime G Caro |
First Address | Philadelphia, PA 19107-4310 |
Second Address | Philadelphia, PA 19107-4310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 22/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000740819 | (05) | PA |
2266105 | (05) | NJ |