John Andrew Carollo Jr.
John Andrew Carollo Jr. is a Family Medicine Physician in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
5555 Montgomery Dr Apt 36Santa Rosa, CA 95409-5597
Phone: (707) 579-6896
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence AFE18635 (CA) |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X · Licence AFE18635 (CA) |
Record details
| NPI number | 1558518290 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 25, 2008 |
| Last updated in NPPES | August 25, 2008 |
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