Individual
JOSEPH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
833 CHESTNUT ST STE 1220, PHILADELPHIA, PA 19107-4413
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 479-1321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00561000
NJ
363A00000X
Physician Assistant
Primary
MA062481
PA
363A00000X
Physician Assistant
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—
Other
Enumeration date
02/05/2020
Last updated
06/27/2025
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