Basic Information
| Provider Information | |||||||||
| NPI: | 1942231451 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARLINI | ||||||||
| FirstName: | DENNIS | ||||||||
| MiddleName: | ANGELO | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8926 WOODYARD ROAD | ||||||||
| Address2: | SUITE 701 | ||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 20735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018561682 | ||||||||
| FaxNumber: | 3018560964 | ||||||||
| Practice Location | |||||||||
| Address1: | 8926 WOODYARD ROAD | ||||||||
| Address2: | SUITE 701 | ||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 20735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018561682 | ||||||||
| FaxNumber: | 3018560964 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2006 | ||||||||
| LastUpdateDate: | 09/27/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | D0023095 | MD | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 0101030433 | VA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | MD11432 | DC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 4695003 | 01 | DC | CAREFIRST NCA | OTHER | 39530 | 01 | MDIPA/OPT CH/MAMSI | OTHER | 411693 | 01 | MD | CAREFIRST OF MD PROV# | OTHER | 778478 | 01 | UNITED HEALTHCARE PROV# | OTHER | 044385879 | 01 | TRICARE PROVIDER# | OTHER | 200028356 | 01 | MD | RAILROAD MEDICARE | OTHER |