Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 0101045524 | VA |
NPI | 1134118417 |
---|---|
Provider Name | Dr. Margaret Theresa Carlini |
First Address | Clinton, MD 20735-4220 |
Second Address | Lorton, VA 22079-1963 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 21/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
176608 | METRO MEDICARE GROUP PROVIDER # (01) | |
46950037 | CAREFIRST NCA (01) | |
641121YZW | MEDICARE PTAN (01) | |
E66496 | (02) | |
P00887811 | RAILROAD MEDICARE PTAN (01) |