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Individual

DR. DARRELL W CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
724 S NEW ST, DOVER, DE 19904-3540
(302) 674-4070
(302) 672-2315
Mailing address
640 S STATE ST BLDG 742, DOVER, DE 19901-3530
(302) 674-3970
(302) 674-2350

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
229066
NY
208600000X
Surgery Physician
Primary
C1-0010848
DE
208600000X
Surgery Physician
D0075452
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02426768
NY
Enumeration date
11/25/2005
Last updated
12/21/2015
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