Dr. John T Carroll
Sports Medicine Foot Surgery
455 Boston Post Rd Ste 8
Old Saybrook
, Connecticut 06475-1554
Dr. John T Carroll
Sports Medicine Foot Surgery
455 Boston Post Rd Ste 8
Old Saybrook
, Connecticut 06475-1554
(860) 447-1489
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About
Features
Specialties
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. John T Carroll
- 196 Parkway S 302
- Waterford, CT
- Zip : 06385-1234
- Fax : (860) 447-1489
- Phone : (860) 447-1488
Second Address
- Dr. John T Carroll
- 455 Boston Post Rd Ste 8
- Old Saybrook, CT
- Zip : 06475-1554
- Fax : (860) 510-0551
- Phone : (860) 510-0502
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081S0010X | Sports Medicine | 000027 | CT |
| N | 213ES0000X | Sports Medicine | 000027 | CT |
| Y | 213ES0131X | Foot Surgery | 000027 | CT |
National Provider Identifier
| NPI | 1508946054 |
|---|---|
| Provider Name | Dr. John T Carroll |
| First Address | Waterford, CT 06385-1234 |
| Second Address | Old Saybrook, CT 06475-1554 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 19/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004006276 | (05) | CT |
| T98410 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.