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General NPI Number Information
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NPI Number | 1275586489
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Entity Type | Individual
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Provider Name | JOEL R CARR D.O., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/04/2009
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Provider Practice Location Address
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Address Line | 704 E MAIN ST STE A
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3070
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Country | US
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Telephone | 609-744-4590
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Fax | 856-608-7630
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Provider Business Mailing Address
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Address Line | 8 JASMINE RD
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City | LUMBERTON
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State | NJ
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Zip | 08048-5282
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Country | US
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Telephone | 609-744-4590
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Fax | 856-608-7630
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS009693L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 25MB08222900
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License Number State | NJ
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