Individual
DR. PAUL JEFFREY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11B FIRST FIELD RD, GAITHERSBURG, MD 20878
(301) 990-6880
(301) 990-0257
Mailing address
6123 MONTROSE RD, ROCKVILLE, MD 20852
(301) 881-3700
(301) 468-1862
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0062133
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247377
KAISER
MD
05
—
406643000
—
MD
01
—
64401001
BCBS OF MD
MD
01
—
7363711
AETNA
MD
01
—
784453000
MAGELLAN
MD
01
—
A2840143
BCBS OF DC
DC
Enumeration date
08/16/2006
Last updated
11/11/2021
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