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Dr. John Raymond Carroll, DO
Student in an Organized Health Care Education/Training Program in Stratford, New Jersey
NPI 1417151440

John Raymond Carroll is a Student in an Organized Health Care Education/Training Program based in Ardmore, NJ. John Raymond Carroll practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for John Raymond Carroll is 1417151440 and holds a License No. (New Jersey).

The current practice location address for John Raymond Carroll is 42 E. Laurel Rd, Udp At Umdnj-Som, Stratford, NJ and can be reached out via phone at 856-566-6330 and via fax at 856-566-6360.

Location: 42 E. Laurel Rd, Udp At Umdnj-Som, Stratford, NJ, 19003-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417151440
Provider Name
John Raymond Carroll
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
42 E. Laurel Rd, Udp At Umdnj-Som, Stratford, NJ, 19003-1325
Phone Number
856-566-6330
Fax Number
856-566-6360
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
42 E. Laurel Rd, Udp At Umdnj-Som
City
Stratford
State
New Jersey
Zip
08084
Phone Number
856-566-6330
Fax Number
856-566-6360
person
Provider Business Mailing Address Details
Address
42 E. Laurel Rd, Udp At Umdnj-Som
City
Stratford
State
New Jersey
Zip
08084
Phone Number
856-566-6330
Fax Number
856-566-6360
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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