Individual
DR. JOHN RAYMOND CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
42 E. LAUREL RD, UDP AT UMDNJ-SOM, DEPT. OF FAMILY MEDICINE, RM 2100, STRATFORD, NJ 08084
(856) 566-6330
(856) 566-6360
Mailing address
102 ARDMORE AVE APT 1, ARDMORE, PA 19003-1325
(773) 732-5288
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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