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CARLSON MEDICAL LLC NPI 1346787256


NPI Information

NPI: 1346787256
Provider Name: CARLSON MEDICAL LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
385 S MAPLE AVE STE 101
GLEN ROCK, NJ
ZIP 07452
Phone: (201) 345-1855
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CARLSON MEDICAL LLC is a primary care clinic center in Glen Rock, NJ. CARLSON MEDICAL LLC NPI is 1346787256. The provider is registered as an organization entity type.

The provider's business location address is:

385 S MAPLE AVE STE 101
GLEN ROCK, NJ
ZIP 07452-545
Phone: (201) 345-1855

The provider's authorized official is Sandra Carlson .
The authorized official title is Owner and has the following contact phone number (201) 345-1855.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 2/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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