# CAROL L. WATSON, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689949653
- **Authorized official:** JENNIFER CARLSON (PROJECT MANAGER)
- **Authorized official phone:** (856) 356-4000

## Contact information

- **Practice address:** 30 W AVON RD, SUITE D, AVON, CT 06001-3678
- **Practice address phone:** (860) 404-2137
- **Practice address fax:** (860) 404-7204
- **Mailing address:** 601 CHAPEL AVE E, SUITE B, CHERRY HILL, NJ 08034-1454
- **Mailing address phone:** (856) 356-4000
- **Mailing address fax:** (856) 414-1660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 10/17/2012