Individual
PETER CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 SUMMER ST, NEWPORT, NH 03773-1208
(603) 863-1785
Mailing address
9 HANOVER ST STE 2, LEBANON, NH 03766-1312
(603) 448-0126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077550
—
NH
Enumeration date
10/20/2020
Last updated
10/20/2020
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