Individual
DR. FRED CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(215) 342-7711
Mailing address
6608 CASTOR AVE, PHILADELPHIA, PA 19149-2120
(215) 342-7711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD045103E
PA
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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