Organization Name: | JOHN T. CARROLL, DPM PC |
NPI Number: | 1114100989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN T CARROLL (PRESIDENT) |
Mailing Address: | 455 Boston Post Rd, Unit #8 Old Saybrook |
State: | CT US |
Postal Code: | 064751554 |
Phone Number: | 8605100502 |
Fax Number: | 8605100551 |
NPI Enumeration Date: | 12/14/2007 |
NPI Last Update Date: | 01/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |