Individual
JOHN C CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 SOUTH MAIN STREET, FALL RIVER, MA 02724-2107
(508) 678-0004
(508) 678-6970
Mailing address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
78526
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110058977A
—
MA
Enumeration date
07/13/2005
Last updated
04/21/2020
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