Individual
JEREMY DAVID CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 NORTH ST STE A, HYANNIS, MA 02601-3825
(508) 775-8282
(508) 775-8280
Mailing address
47 NEW SCOTLAND AVE, DEPT. OF ORTHOPAEDIC SURGERY, ALBANY, NY 12208-3412
(518) 489-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1024165
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
06/03/2025
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