Individual
ROBERT D CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 E MAIN ST, STAFFORD SPRINGS, CT 06076-1227
(860) 684-5848
Mailing address
47 E MAIN ST, STAFFORD SPRINGS, CT 06076-1227
(860) 684-5848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029923
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010029923-CT01
BCBS
CT
01
—
01029923
CIGNA
CT
01
—
0129923000
BLUE CARE FAMILY PLAN
CT
01
—
029923
CONNECTICARE
CT
01
—
0R3605
HEALTH NET
CT
05
—
1299230
—
CT
01
—
4230366
AETNA
CT
01
—
61373363
UNITED HEALTH CARE
CT
01
—
TOP027
OXFORD HEALTH PLAN
CT
Enumeration date
08/24/2005
Last updated
01/11/2013
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