Basic Information
Provider Information
NPI: 1609337153
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARPINITO
FirstName: GIANPAOLO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 22 FALMOUTH RD
Address2:  
City: WELLESLEY HILLS
State: MA
PostalCode: 024811239
CountryCode: US
TelephoneNumber: 6173129708
FaxNumber:  
Practice Location
Address1: 5201 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 752357708
CountryCode: US
TelephoneNumber: 2145908058
FaxNumber: 2145902776
Other Information
ProviderEnumerationDate: 03/27/2019
LastUpdateDate: 03/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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