Dr CARL M DESIDERIO DO is a male medical professional, specializing in Emergency Medicine. He graduated in 1976 from Philadelphia College Of Osteopathic Medicine.
DOCTORS OFFICE OF WEST CALDWELL
556 PASSAIC AVE
WEST CALDWELL
NJ
070067449
Tel: 9738082273
| Npi | 1992748495 |
| Pac Id | 6103724315 |
| Professional Enrollment Id | I20040625000034 |
| Last Name | DESIDERIO |
| First Name | CARL |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | EMERGENCY MEDICINE |
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| Organization Legal Name | DOCTORS OFFICE OF WEST CALDWELL |
| Group Practice Pac Id | 7416130448 |
| Number Of Group Practice Members | 17 |
| Line 1 Street Address | 556 PASSAIC AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WEST CALDWELL |
| State | NJ |
| Zip Code | 070067449 |
| Phone Number | 9738082273 |
| Hospital Affiliation Ccn 1 | 310003 |
| Hospital Affiliation Lbn 1 | HACKENSACKUMC PALISADES |
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| Professional Accepts Medicare Assignment | Y |
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