Carlson, Roy Douglas

Carlson, Roy Douglas is an individual health care provider with primary practice located at 204 Ark Rd Suite 102, Mount Laurel NJ 08054-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Carlson, Roy Douglas can be contacted via phone (856) 602-4000.

Contact Information

Primary practice address
204 Ark Rd Suite 102 Mount Laurel NJ 08054-3100
Fax: (856) 946-1747
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MA46109 New Jersey

Profile Details

NPI number 1932142858
LBN Legal business name Carlson, Roy Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 17th, 2022 - about 2 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 1932142858 NPPES
New Jersey MEDICAID 0371408

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