-- JOHN ANDREW CAROLLO Jr.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1558518290- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5555 MONTGOMERY DR APT 36, SANTA ROSA, CA, 954095597
- Phone
- (707) 579-6896
Specialties & Taxonomies
Family Medicine
Primary License: CA #AFE18635
Family Medicine, Geriatric Medicine
License: CA #AFE18635