Organization
CARLSON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CARLSON MD (OWNER)
(201) 345-1855
Entity
Organization
Contact information
Practice address
385 S MAPLE AVE STE 101, GLEN ROCK, NJ 07452-1545
(201) 345-1855
Mailing address
385 S MAPLE AVE STE 101, GLEN ROCK, NJ 07452-1545
(201) 345-1855
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
02/27/2017
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