Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Gerard Carroll

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972066579

Brian Gerard Carroll is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

110 Bergen St
Newark, NJ 07103-2495
Phone: (908) 721-2749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1972066579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 10, 2019
Mailing address36 Redwood Ter, Flemington, NJ 08822-3021

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