Individual
ROBERT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-2500
(215) 728-3639
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2500
(215) 728-3639
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
G42022
CA
207RX0202X
Medical Oncology Physician
Primary
MD447356
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G420220
—
CA
Enumeration date
08/20/2006
Last updated
04/06/2018
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