Organization
NICOLE CARLSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE LYNN CARLSON MD (PHYSICIAN)
(724) 654-3222
Entity
Organization
Contact information
Practice address
219 WEST FAIRMONT AVENUE, NEW CASTLE, PA 16105
(724) 654-3222
Mailing address
219 WEST FAIRMONT AVENUE, NEW CASTLE, PA 16105
(724) 654-3222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD430168
PA
Other
Enumeration date
03/24/2008
Last updated
11/16/2012
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