Provider Demographics
NPI:1588655013
Name:MCCARROLL, DARROLYN M (MD)
Entity Type:Individual
Prefix:
First Name:DARROLYN
Middle Name:M
Last Name:MCCARROLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DARROLYN
Other - Middle Name:M
Other - Last Name:MCCARROLL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:620 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3300
Mailing Address - Country:US
Mailing Address - Phone:508-520-4694
Mailing Address - Fax:508-520-4694
Practice Address - Street 1:620 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3300
Practice Address - Country:US
Practice Address - Phone:508-553-9145
Practice Address - Fax:508-520-3167
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA73399207RA0401X
MA73399207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine