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Organization

FAMILY MEDICAL WELLNESS PC

Active
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Organization

FAMILY MEDICAL WELLNESS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES E CARLSON D.O. (DOCTOR)
(631) 928-9326
Entity
Organization

Contact information

Practice address
125 OAKLAND AVE, STE 203, PORT JEFFERSON, NY 11777
(631) 928-9326
Mailing address
125 OAKLAND AVE, STE 203 MAIL BOX 6, PORT JEFFERSON, NY 11777
(631) 928-9326

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204062
NY

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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