Carlson, Robert

Carlson, Robert is an individual health care provider with primary practice located at 333 Cottman Ave , Philadelphia PA 19111-2434. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Carlson, Robert can be contacted via phone (215) 728-2500.

Contact Information

Primary practice address
333 Cottman Ave Philadelphia PA 19111-2434
Phone: (215) 728-2500
Fax: (215) 728-3639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G42022 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD447356 Pennsylvania

Profile Details

NPI number 1407961535
LBN Legal business name Carlson, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 6th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407961535 NPPES
California MEDICAID 00G420220

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