Individual
MARY ELIZABET CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9110 PHILADELPHIA RD., STE. 108, ROSEDALE, MD 21237-4301
(410) 574-3655
Mailing address
4313 CONIFER CT., GLEN ARM, MD 21057-9124
(410) 882-5064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0028177
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367471100
—
MD
Enumeration date
02/15/2006
Last updated
08/14/2008
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