Individual
DR. JOHN M CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 PLEASANT ST, MALDEN, MA 02148-8114
(781) 322-7178
(781) 321-1971
Mailing address
390 PLEASANT ST, MALDEN, MA 02148-8114
(781) 322-7178
(781) 321-1971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113867
—
MA
Enumeration date
03/10/2006
Last updated
06/02/2008
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