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John T. Carroll, Dpm Pc
Customized Equipment (DME) in Old Saybrook, Connecticut
NPI 1114100989

John T. Carroll, Dpm Pc is a Customized Equipment (DME) based in Old Saybrook, CT and is specialized in Customized Equipment. John T. Carroll, Dpm Pc practices in Old Saybrook, CT. The NPI Number for John T. Carroll, Dpm Pc is 1114100989 and holds a License No. (Connecticut).

The current practice location address for John T. Carroll, Dpm Pc is 455 Boston Post Rd, Unit #8, Old Saybrook, CT and can be reached out via phone at 860-510-0502 and via fax at 860-510-0551.

Location: 455 Boston Post Rd, Unit #8, Old Saybrook, CT, 06475-1554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114100989
Provider Name
John T. Carroll, Dpm Pc
Credential
Provider Entity Type
Organization
Address
455 Boston Post Rd, Unit #8, Old Saybrook, CT, 06475-1554
Phone Number
860-510-0502
Fax Number
860-510-0551
Provider Enumeration Date
12/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008063266 01 CT MEDICAID DME/MEDICAL SUPPLY DEALER
008059379 05 CT
institution
Provider Business Practice Location Address Details
Address
455 Boston Post Rd, Unit #8
City
Old Saybrook
State
Connecticut
Zip
06475-1554
Phone Number
860-510-0502
Fax Number
860-510-0551
person
Provider Business Mailing Address Details
Address
455 Boston Post Rd, Unit #8
City
Old Saybrook
State
Connecticut
Zip
06475-1554
Phone Number
860-510-0502
Fax Number
860-510-0551
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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