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Contact Information

ERIC J CARLSON, DO
100 E LANCASTER AVE
353 MEDICAL OFFICE BUILDING EAST
WYNNEWOOD, PA19096-3450
 Phone: 610-649-9021
 Fax: 610-649-8058
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ERIC J CARLSON · (Male)

NPI # 1316995574
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MB06319700
  • PA License # OS011047L
  • PA Medicaid 00184927
  • PA Other 5824670 AETNA US HEALTHCARE
  • PA Other 3716959 AETNA US HEALTHCARE GROUP
  • PA Other 3716982 AETNA US HEALTHCARE HMO
  • PA Other 0184927006 AMERICHOICE
  • PA Other 1652891 BC/BS HIGHMARK GROUP
  • PA Other 2330386000 BC/BS KEY, PER. GROUP
  • PA Other 00866773000 BC/BS KEYSTONE, PERSONAL
  • PA Other 923742 BC/BS SHIELD HIGHMARK
  • PA Other 02640 HEALTH PARTNERS
  • PA Other 33657 HEALTH PARTNERS
  • PA Other 33658 HEALTH PARTNERS
  • PA Other 33659 HEALTH PARTNERS
  • PA Other 30018993 KEYSTONE MERCY
  • PA Other 30018989 KEYSTONE MERCY GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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