Provider Demographics
NPI:1548258213
Name:CHIAPPETTA, CARL JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:JOSEPH
Last Name:CHIAPPETTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CARL
Other - Middle Name:JOSEPH
Other - Last Name:CHIAPPETTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1675 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3825
Mailing Address - Country:US
Mailing Address - Phone:609-890-1606
Mailing Address - Fax:
Practice Address - Street 1:1675 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3825
Practice Address - Country:US
Practice Address - Phone:609-890-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry