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NPI Code Detail

MEDICARE: CARRIER CLINIC MEDICAL ASSOCIATION

MEDICARE: CARRIER CLINIC MEDICAL ASSOCIATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianNJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982605077
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARRIER CLINIC MEDICAL ASSOCIATION
Provider Business Mailing Address
First Line : 252 ROUTE 601
Second Line :
City : BELLE MEAD
State : NJ
Zip : 08502-3923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 252 ROUTE 601
Second Line :
City : BELLE MEAD
State : NJ
Zip : 08502-3923
Country : US
Telephone Number : 908-218-1000
Fax Number : 908-281-1676
Authorized Official
Title or Position : CHEIF EXECUTIVE OFFICER
Name : MR. C RICHARD SARLE
Credential :
Telephone Number : 908-281-1604
Provider Enumeration Date : 08/10/2005
Last Update Date : 07/21/2022

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Directions to “CARRIER CLINIC MEDICAL ASSOCIATION ” Practice Location

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