Individual
JOHN M CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 MAIN ST, DURHAM, CT 06422-2126
(860) 349-1058
(860) 358-8652
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043280
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1432806
—
CT
Enumeration date
06/19/2006
Last updated
04/11/2017
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