Individual
MRS. CAROLYN B CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8 EAST MAIN STREET, SUITE 101, CLINTON, CT 06413-2058
(860) 669-6156
(860) 664-0285
Mailing address
8 EAST MAIN STREET, SUITE 101, CLINTON, CT 06413-2058
(860) 669-6156
(860) 664-0285
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
CT034871
CT
207ND0900X
Dermatopathology Physician
CT034871
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001348714
—
CT
Enumeration date
07/28/2006
Last updated
07/11/2010
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