Individual
DR. PATRICK CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 RETREAT AVE, RESEARCH BUILDING, 8TH FLOOR, HARTFORD, CT 06106-3309
(860) 545-7188
(860) 549-2215
Mailing address
200 RETREAT AVE, RESEARCH BUILDING, 8TH FLOOR, HARTFORD, CT 06106-3309
(860) 545-7188
(860) 549-2215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27420
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295773299
NPI
—
Enumeration date
06/02/2006
Last updated
11/01/2012
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