Healthcare Provider Details

I. General information

NPI: 1265542807
Provider Name (Legal Business Name): DAVID F. CARROLL. D.C.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 WASHINGTON ST UNIT 31
NORWOOD MA
02062-2337
US

IV. Provider business mailing address

470 WASHINGTON ST UNIT 31
NORWOOD MA
02062-2337
US

V. Phone/Fax

Practice location:
  • Phone: 781-762-6153
  • Fax:
Mailing address:
  • Phone: 781-762-6153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID F CARROLL
Title or Position: PRESIDENT
Credential: D.C.
Phone: 781-762-6153