Individual provider · Type 1 NPI
John T. Carroll, DPM
Foot Surgery Podiatrist · Old Saybrook, CT
NPI number
1508946054
Active
Practice location
455 Boston Post Rd Ste 8
Old Saybrook, CT 06475-1554
Fax (860) 510-0551
Mailing address
196 Parkway S 302
Waterford, CT 06385-1234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | 000027 (CT) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 000027 (CT) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1508946054
John T. Carroll, DPM's National Provider Identifier is 1508946054, issued on Oct 17, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Old Saybrook, CT. The record was last updated on May 19, 2016.