Individual
DR. JOEL R CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
704 E MAIN ST STE A, MOORESTOWN, NJ 08057-3070
(609) 744-4590
(856) 608-7630
Mailing address
8 JASMINE RD, LUMBERTON, NJ 08048-5282
(609) 744-4590
(856) 608-7630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS009693L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
25MB08222900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136042
—
NJ
05
—
1011060160001
—
PA
01
—
25MB08222900
LICENSE
NJ
01
—
H0060757
LICENSE
MD
01
—
OS009693L
LICENSE NUMBER
PA
Enumeration date
05/18/2006
Last updated
03/04/2009
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