Individual
DR. MARY SHANNON CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
140 BERGEN STREET, E-1680, NEWARK, NJ 07103
(973) 972-1017
Mailing address
1028 LAUREL TRL, MARTINSVILLE, NJ 08836-2211
(908) 872-0653
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00105600
NJ
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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