Individual
CAROL H. CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE # 5, NEWARK, NJ 07112-2027
(972) 926-3500
Mailing address
201 LYONS AVE # L5, NEWARK, NJ 07112-2027
(973) 926-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MP108900
NJ
Other
Enumeration date
06/04/2006
Last updated
05/05/2008
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