| Doctor Name: | JESUS M CARABALLO |
| NPI Number: | 1083848022 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 763 Convery Blvd Route 35 South Suite L1 Perth Amboy, NJ - 088612525 |
| Business Phone Number: | 7323313400 |
| Business Fax Number: | |
| Mailing Address: | 763 Convery Blvd, Route 35 South Suite L1 PERTH AMBOY |
| State: | NJ |
| Postal Code: | 088612525 |
| Phone Number: | 7323313400 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2009 |
| NPI Last Update Date: | 05/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |