Organization
TBHC ECG MED SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CARROLL M.D (CMO)
(718) 250-6766
Entity
Organization
Contact information
Practice address
TBHC MED SERVICES PC, 121 DEKALB AVENUE, BROOKLYN, NY 11201
(718) 250-8265
Mailing address
TBHC ECG MED SERVICES PC, PO BOX 30082, NEW YORK, NY 10087
(718) 250-8265
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997686
—
NY
Enumeration date
10/02/2006
Last updated
08/22/2020
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