NPI 1023119138 · live from the CMS NPI Registry
Clifford Carrol, M.D.
Internal Medicine, Gastroenterology in Honesdale, PA. National Provider Identifier 1023119138, active.
NPI record
| NPI | 1023119138 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 601 Park St, Honesdale, PA 18431 |
| Practice phone | 570-253-8185 |
| Mailing address | Po Box 34795, Las Vegas, NV 89133 |
| Enumerated | September 25, 2006 |
| Last updated | May 9, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | MD153344 (OR) |
| Internal Medicine, Gastroenterology | 207RG0100X | 8160 (NV) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD476546 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.