Carlson, David J
Carlson, David J is an individual health care provider with primary practice located at 101 Cedar St , Milford MA 01757-1101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Carlson, David J can be contacted via phone (508) 634-5026.Contact Information
Primary practice address
101 Cedar St
Milford MA 01757-1101
Phone: (508) 634-5026
Fax: (508) 634-5005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 227107 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 227107 | Massachusetts |
Profile Details
| NPI number | 1871695296 |
|---|---|
| LBN Legal business name | Carlson, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Nov 8th, 2021 - about 4 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 | 1871695296 | NPPES |
| Massachusetts | MEDICAID | 110077492A | |
| Massachusetts | MEDICAID | 1100777492A |
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