Individual
DR. JOHN A CARLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BOWMAN DRIVE, SUITE E315, VOORHEES, NJ 08043
(856) 247-7310
(856) 247-7309
Mailing address
7000 ATRIUM WAY, SUITE 6, MOUNT LAUEL, NJ 08054
(856) 291-6818
(856) 291-6819
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MA55574
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5508100
—
NJ
Enumeration date
04/25/2006
Last updated
04/11/2014
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