Individual
MR. TIMOTHY A CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2234 PERKIOMEN AVE, READING, PA 19606-1830
(610) 370-2511
(610) 370-9348
Mailing address
2234 PERKIOMEN AVE, READING, PA 19606-1830
(610) 370-2511
(610) 370-9348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP005613B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007706668
—
PA
Enumeration date
08/12/2005
Last updated
04/29/2014
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