Provider Demographics
NPI:1710186036
Name:BAROSSO, CARL HUMBERT (MD)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:HUMBERT
Last Name:BAROSSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:640 S. STATE STREET
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-744-7980
Mailing Address - Fax:302-744-7989
Practice Address - Street 1:101 WELLNESS WAY STE 250
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-4396
Practice Address - Country:US
Practice Address - Phone:302-744-7980
Practice Address - Fax:302-744-7989
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-00244662086S0129X
WV230322086S0129X, 208G00000X
TXJ 6870208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)