Individual
PAUL F CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494
Mailing address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD068134L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD068134L
PA
207XX0801X
Orthopaedic Trauma Physician
MD068134L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017477430004
—
PA
01
—
01840501
BLUE CROSS
PA
01
—
1121513
AMERIHEALTHMERCY
PA
01
—
113781
HEALTHAMERICA/HEALTHASSUR
PA
01
—
200035164
RAILROAD MEDICARE
PA
01
—
2187113
AETNA
PA
01
—
461550
BLUE SHIELD
PA
Enumeration date
03/24/2006
Last updated
02/12/2021
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