Healthcare Provider Details

I. General information

NPI: 1588655013
Provider Name (Legal Business Name): DARROLYN M MCCARROLL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARROLYN M MCCARROLL MD

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 WASHINGTON ST
FRANKLIN MA
02038-3300
US

IV. Provider business mailing address

620 WASHINGTON ST
FRANKLIN MA
02038-3300
US

V. Phone/Fax

Practice location:
  • Phone: 508-553-9145
  • Fax: 508-520-3167
Mailing address:
  • Phone: 508-520-4694
  • Fax: 508-520-4694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberMA73399
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number73399
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: