Provider Demographics
NPI:1902244684
Name:CARPINELLO, OLIVIA JEN (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:JEN
Last Name:CARPINELLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 MARYLAND AVE UNIT 225
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-0338
Mailing Address - Country:US
Mailing Address - Phone:518-810-3893
Mailing Address - Fax:
Practice Address - Street 1:8010 TOWERS CRESCENT DR FL 5
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2710
Practice Address - Country:US
Practice Address - Phone:571-789-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD83598207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program