Individual
PHILIP ROSS CARHART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 364-7816
Mailing address
112 SURREY RD, VOORHEES, NJ 08043-1167
(609) 864-4285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00241600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00241600
NJ OFFICE OF THE ATTORNEY GENERAL, DIVISION OF CONSUMER AFFAIRS, P.A.A.C.
NJ
Enumeration date
08/16/2010
Last updated
02/24/2021
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