DR. Richard Andrew Carlson Jr, MD

NPI #1740246735 in Tonawanda, New York

Provider Information

NPI Number: 1740246735
Entity Type: Individual
Name: DR. Richard Andrew Carlson Jr, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Apr 26, 2006
Last Updated: Jan 25, 2013

Practice Location

Address: 1491 SHERIDAN DR
Address 2: SHERIDAN MEDICAL GROUP
City: Tonawanda
State: New York
ZIP Code: 14217-1234
Phone: (716) 332-4476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X

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