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Benedict T Carota
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NPI Number Detailed Information
Provider Information:
| Name: | Benedict T Carota |
| Gender: | M |
| Provider License Number If Given: | A36359 |
NPI Information:
| NPI: | 1548255029 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 901 SUNSET DR STE 1 Hollister, CA 95023 |
| Phone Number: | 8316371655 |
| Fax Number: | 8316376894 |
Provider Business Practice Location Address:
| Address: | 901 SUNSET DR STE 1 Hollister, CA 95023 |
| Phone Number: | 8316371655 |
| Fax Number: | 8316376894 |
Provider Taxonomy:
| Primary: | 207Q00000X |
| Secondary (if any): | |
| State: | CA |
