Provider Demographics
NPI:1508029463
Name:CARR, ROBERT WILLIAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAMS
Last Name:CARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CRESCENT DR
Mailing Address - Street 2:NY 0300
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19112-1001
Mailing Address - Country:US
Mailing Address - Phone:215-751-7587
Mailing Address - Fax:
Practice Address - Street 1:5 CRESCENT DR
Practice Address - Street 2:NY 0300
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19112-1001
Practice Address - Country:US
Practice Address - Phone:215-751-7587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043599E2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine