Provider Demographics
NPI:1144277518
Name:CANALS NAVAS, CARMEN L (MD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:L
Last Name:CANALS NAVAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:300 MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080
Mailing Address - Country:US
Mailing Address - Phone:856-218-4991
Mailing Address - Fax:856-218-1499
Practice Address - Street 1:201 LAUREL OAK RD.
Practice Address - Street 2:SUITE B
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-566-5478
Practice Address - Fax:856-566-9561
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2019-01-09
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Provider Licenses
StateLicense IDTaxonomies
NJMA28409207RN0300X
NJ25MA05966700207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5575206Medicaid
NJF65451Medicare UPIN
NJ138934SZQMedicare ID - Type Unspecified