Provider Demographics
NPI:1194714006
Name:CARROLL, BARBARA J (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13801 YORK RD
Mailing Address - Street 2:OUT PATIENT DEPARTMENT
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1825
Mailing Address - Country:US
Mailing Address - Phone:410-527-1900
Mailing Address - Fax:443-578-8199
Practice Address - Street 1:13801 YORK RD
Practice Address - Street 2:OUT PATIENT DEPARTMENT
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-1825
Practice Address - Country:US
Practice Address - Phone:410-527-1900
Practice Address - Fax:410-527-0085
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD38392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDGJ32Medicare ID - Type Unspecified
MDC62477Medicare UPIN