Individual
DR. ROY DOUGLAS CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 ARK RD, SUITE 102, MOUNT LAUREL, NJ 08054-3100
(856) 602-4000
(856) 946-1747
Mailing address
PO BOX 95000-5585, PHILADELPHIA, PA 19195-5585
(856) 667-1575
(856) 946-1747
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MA46109
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371408
—
NJ
Enumeration date
06/14/2006
Last updated
05/17/2022
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