Carroll, John M

Carroll, John M is an individual health care provider with primary practice located at 1900 Crown Colony Dr Suite 301, Quincy MA 02169-0931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carroll, John M can be contacted via phone (617) 472-5242.

Contact Information

Primary practice address
1900 Crown Colony Dr Suite 301 Quincy MA 02169-0931
Fax: (617) 770-2975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25738 Massachusetts

Profile Details

NPI number 1710976840
LBN Legal business name Carroll, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710976840 NPPES
Massachusetts MEDICAID 2000997

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