Healthcare Provider Details

I. General information

NPI: 1982605077
Provider Name (Legal Business Name): CARRIER CLINIC MEDICAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 ROUTE 601
BELLE MEAD NJ
08502-3923
US

IV. Provider business mailing address

252 ROUTE 601
BELLE MEAD NJ
08502-3923
US

V. Phone/Fax

Practice location:
  • Phone: 908-218-1000
  • Fax: 908-281-1676
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. C RICHARD SARLE
Title or Position: CHEIF EXECUTIVE OFFICER
Credential:
Phone: 908-281-1604