| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CAROLYN DOROTHY TELLA | 1063159713 | 2022-05-15 |
Carolyn Dorothy Tella is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063159713. Registration indicates Carolyn Dorothy Tella is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Carolyn Dorothy Tella PA-C |
| Practice Office Address | 462 1ST AVE NEW YORK, NY US |
| Practice Office Telephone | 4194834040 |
| Mailing Address | 35 INDIAN HILL RD MEDFIELD, MA 020522908 US |
| Business Telephone | 5084399663 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |