Individual
DR. BRIAN I CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH ST, SUITE 4240, PHILADELPHIA, PA 19107-4824
(215) 955-8874
(215) 955-2340
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD043920E
PA
207RX0202X
Medical Oncology Physician
Primary
MD043920E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001181107 0006
—
PA
Enumeration date
02/06/2006
Last updated
09/24/2010
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