Basic Information
Provider Information
NPI: 1396703807
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARTER
FirstName: JOSEPH
MiddleName: JAMES
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherFirstName:  
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OtherCredential:  
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Mailing Information
Address1: 333 EAST 30TH ST
Address2: APT 7A
City: NEW YORK
State: NY
PostalCode: 10016
CountryCode: US
TelephoneNumber: 7186371388
FaxNumber: 2122638640
Practice Location
Address1: 1ST AVE AND 27
Address2: BELLEVUE HOSPITAL, SUITE 15 SOUTH 14
City: NEW YORK
State: NY
PostalCode: 10016
CountryCode: US
TelephoneNumber: 2122633205
FaxNumber: 2122638640
Other Information
ProviderEnumerationDate: 05/03/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X228328NYX Allopathic & Osteopathic PhysiciansSurgery 
208C00000X228328NYX Allopathic & Osteopathic PhysiciansColon & Rectal Surgery 

No ID Information.


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