Provider Demographics
NPI:1124090402
Name:CARABASI, ANTHONY C (DC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:C
Last Name:CARABASI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 GREENTREE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1112
Mailing Address - Country:US
Mailing Address - Phone:856-761-8100
Mailing Address - Fax:856-761-8107
Practice Address - Street 1:1919 GREENTREE RD
Practice Address - Street 2:SUITE A
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1112
Practice Address - Country:US
Practice Address - Phone:856-761-8100
Practice Address - Fax:856-761-8107
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00446500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223751475COtherHORIZON BC/BS
NJ045230Medicare PIN
NJ223751475COtherHORIZON BC/BS