Healthcare Provider Details
I. General information
NPI: 1992703623
Provider Name (Legal Business Name): BARBARA C CARTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2005
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
271 CAREW ST
SPRINGFIELD MA
01104-2377
US
IV. Provider business mailing address
1020A E BOAL AVE
BOALSBURG PA
16827-1509
US
V. Phone/Fax
- Phone: 413-748-9230
- Fax: 413-748-9192
- Phone: 814-237-8627
- Fax: 814-238-0083
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 75791 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: