Individual
PHILIP CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 TAGGARD RD, WALPOLE, NH 03608-5039
(603) 756-3587
Mailing address
31 TAGGARD RD, WALPOLE, NH 03608-5039
(603) 756-3587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11813
NH
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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