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Organization

ROBERT D. CARLSON, M.D. , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT D CARLSON, M.D. , LLC M.D. (OWNER/MEMBER)
(860) 429-8439
Entity
Organization

Contact information

Practice address
47 E MAIN ST, STAFFORD SPRINGS, CT 06076-1227
(860) 684-5871
(860) 684-0469
Mailing address
11 PHELPS WAY, POB 399, WILLINGTON, CT 06279
(860) 429-8439
(860) 429-3145

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/12/2010
Last updated
01/11/2013
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