Individual
STEPHEN E CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 REED AVE, SUITE 300, WYOMISSING, PA 19610-2002
(610) 374-4401
(610) 374-7140
Mailing address
1011 REED AVE, SUITE 300, WYOMISSING, PA 19610-2002
(610) 374-4401
(610) 374-7140
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD024737E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008608710005
—
PA
Enumeration date
11/03/2005
Last updated
05/15/2014
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