Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marie Lidia Carillo, MD

Individual provider Pediatric Cardiology Physician · NPI 1225416779

Marie Lidia Carillo, MD is a Pediatric Cardiology Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 3 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 — (856) 342-2001
  • 1012 Laurel Oak Rd, Voorhees, NJ 08043-3505 — (215) 590-4040

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence MD478361 (PA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 25MA11550000 (NJ)

Record details

NPI number1225416779
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 15, 2015
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

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