Individual
DR. JAMES CARROLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF SURGERY, WORCESTER, MA 01655-0002
(508) 334-0545
(774) 443-0544
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
238407
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095660A
—
MA
Enumeration date
01/10/2007
Last updated
11/02/2020
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