Healthcare Provider Details

I. General information

NPI: 1730116708
Provider Name (Legal Business Name): CAROLYN JOAN HARRINGTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11908 DARNESTOWN RD SUITE A & B
NORTH POTOMAC MD
20878
US

IV. Provider business mailing address

11908 DARNESTOWN RD SUITE A & B
NORTH POTOMAC MD
20878
US

V. Phone/Fax

Practice location:
  • Phone: 301-208-8600
  • Fax: 301-208-0547
Mailing address:
  • Phone: 301-208-8600
  • Fax: 301-208-0547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0034163
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0034163
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: