Provider Demographics
NPI:1053777458
Name:CARLINI, MARA ANN (MSAOM)
Entity type:Individual
Prefix:
First Name:MARA
Middle Name:ANN
Last Name:CARLINI
Suffix:
Gender:F
Credentials:MSAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2922
Mailing Address - Country:US
Mailing Address - Phone:724-493-9749
Mailing Address - Fax:
Practice Address - Street 1:312 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-2922
Practice Address - Country:US
Practice Address - Phone:724-493-9749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist