Individual
ERIC JOHN CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 E LANCASTER AVE, 353 MEDICAL OFFICE BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 649-9021
(610) 649-8058
Mailing address
100 E LANCASTER AVE, 353 MEDICAL OFFICE BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 649-9021
(610) 649-8058
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
25MB06319700
NJ
207VM0101X
Maternal & Fetal Medicine Physician
Primary
OS011047L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00184927
—
PA
01
—
00866773000
BC/BS KEYSTONE, PERSONAL
PA
01
—
0184927006
AMERICHOICE
PA
01
—
02640
HEALTH PARTNERS
PA
01
—
1652891
BC/BS HIGHMARK GROUP
PA
01
—
2330386000
BC/BS KEY, PER. GROUP
PA
01
—
30018989
KEYSTONE MERCY GROUP
PA
01
—
30018993
KEYSTONE MERCY
PA
01
—
33657
HEALTH PARTNERS
PA
01
—
33658
HEALTH PARTNERS
PA
01
—
33659
HEALTH PARTNERS
PA
01
—
3716959
AETNA US HEALTHCARE GROUP
PA
01
—
3716982
AETNA US HEALTHCARE HMO
PA
01
—
5824670
AETNA US HEALTHCARE
PA
01
—
923742
BC/BS SHIELD HIGHMARK
PA
Enumeration date
05/04/2006
Last updated
07/08/2007
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