Provider Demographics
NPI:1184783375
Name:CARR, ALAN D (DO)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:D
Last Name:CARR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 FRANCINE DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2809
Mailing Address - Country:US
Mailing Address - Phone:856-489-3300
Mailing Address - Fax:856-489-3477
Practice Address - Street 1:1804 BERLIN RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3736
Practice Address - Country:US
Practice Address - Phone:856-489-3300
Practice Address - Fax:856-489-3477
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB04703700207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ705385X5TMedicare PIN