Carlson, John A
Carlson, John A is an individual health care provider with primary practice located at 200 Bowman Drive Suite E315, Voorhees NJ 08043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Carlson, John A can be contacted via phone (856) 247-7310.Contact Information
Primary practice address
200 Bowman Drive Suite E315
Voorhees NJ 08043
Phone: (856) 247-7310
Fax: (856) 247-7309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | MA55574 | New Jersey |
Profile Details
| NPI number | 1710943121 |
|---|---|
| LBN Legal business name | Carlson, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 11th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710943121 | NPPES |
| New Jersey | MEDICAID | 5508100 |
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