Mary Carrillo
Mary Carrillo is a Certified Registered Nurse Anesthetist (CRNA) in Florham Park, New Jersey. Qualified in 2015, 11 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 11
- Licensed in
- NJ
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
140 Park AveFlorham Park, NJ 07932-1049
Phone: (973) 404-9700
Fax: (973) 377-4709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 26NJ00602400 (NJ) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 26NR12741800 (NJ) |
Record details
| NPI number | 1356722268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 16, 2015 |
| Last updated in NPPES | January 11, 2018 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Summit Medical Group Pa — 1205 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Florham Park
-
Christina Agnellino
30B Vreeland Rd Ste 200, Florham Park, NJ 07932 · (919) 882-0706
-
Dr. Ghada Cieri, CRNA/APN
30 B Vreeland Rd Ste 200, Florham Park, NJ 07932 · (973) 660-9334
-
Carl Koch, APN, CRNA
140 Park Ave, Florham Park, NJ 07932-1049 · (973) 718-5800
-
Laura Bresler Labarbera, RN
83 Hanover Rd Ste 190, Florham Park, NJ 07932-1508 · (973) 410-9700