Individual
DR. DEAN LARS CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 E BROAD ST, WESTFIELD ORTHOPEDIC GROUP, WESTFIELD, NJ 07090-2107
(908) 232-3879
(908) 232-5789
Mailing address
541 E BROAD ST, WESTFIELD, NJ 07090-2107
(908) 232-3879
(908) 232-5789
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA01877200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172200001
DMERC
—
Enumeration date
09/07/2005
Last updated
04/02/2015
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