John T Carroll in Old Saybrook - Sports Medicine
John T Carroll - NPI 1508946054
John T Carroll is a Sports Medicine in Old Saybrook, Connecticut. John T Carroll practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John T Carroll is 1508946054. The last update date is 2016-05-19.
John T Carroll's current location address is 455 Boston Post Rd Ste 8, Old Saybrook, Connecticut. You can contact this provider via phone number 8605100502 and fax number 8605100551. The mailing address for John T Carroll is 455 Boston Post Rd Ste 8, Old Saybrook, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John T Carroll |
|---|---|
| Address | 455 Boston Post Rd Ste 8, Old Saybrook, Connecticut |
| Phone Number | 8605100502 |
| Fax Number | 8605100551 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508946054 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2016-05-19 |
Provider Mailing Address Detail
| Address | 455 Boston Post Rd Ste 8 |
|---|---|
| City | Old Saybrook |
| State | Connecticut (CT) |
| Post Code | 64751554 |
| Phone Number | 8605100502 |
| Fax Number | 8605100551 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | 27 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4006276 | CT | -- |
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What is the unique identification code assigned to John T Carroll by the Centers for Medicare & Medicaid Services?
The John T Carroll has been issued the NPI (National Provider Identifier) 1508946054. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John T Carroll located?
The John T Carroll is located at 455 Boston Post Rd Ste 8, Old Saybrook, CT 64751554.
What is John T Carroll's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John T Carroll is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 213Es0000X.
When did John T Carroll receive its 1508946054 assignment?
The John T Carroll was assigned its 1508946054 on 2006-10-17, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to John T Carroll most recently updated or revised?
The information pertaining to John T Carroll, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-19.
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