Eric John Carlson
Gynecologist - Maternal & Fetal Medicine
100 E Lancaster Ave 353 Medical Office Building East
Wynnewood
, Pennsylvania 19096-3450
Eric John Carlson
Gynecologist - Maternal & Fetal Medicine
100 E Lancaster Ave 353 Medical Office Building East
Wynnewood
, Pennsylvania 19096-3450
(610) 649-8058
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Eric John Carlson
- 100 E Lancaster Ave 353 Medical Office Building East
- Wynnewood, PA
- Zip : 19096-3450
- Fax : (610) 649-8058
- Phone : (610) 649-9021
Second Address
- Eric John Carlson
- 100 E Lancaster Ave 353 Medical Office Building East
- Wynnewood, PA
- Zip : 19096-3450
- Fax : (610) 649-8058
- Phone : (610) 649-9021
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MB06319700 | NJ |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | OS011047L | PA |
National Provider Identifier
| NPI | 1316995574 |
|---|---|
| Provider Name | Eric John Carlson |
| First Address | Wynnewood, PA 19096-3450 |
| Second Address | Wynnewood, PA 19096-3450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00184927 | (05) | PA |
| 00866773000 | BC/BS KEYSTONE, PERSONAL (01) | PA |
| 0184927006 | AMERICHOICE (01) | PA |
| 02640 | HEALTH PARTNERS (01) | PA |
| 1652891 | BC/BS HIGHMARK GROUP (01) | PA |
| 2330386000 | BC/BS KEY, PER. GROUP (01) | PA |
| 30018989 | KEYSTONE MERCY GROUP (01) | PA |
| 30018993 | KEYSTONE MERCY (01) | PA |
| 33657 | HEALTH PARTNERS (01) | PA |
| 33658 | HEALTH PARTNERS (01) | PA |
| 33659 | HEALTH PARTNERS (01) | PA |
| 3716959 | AETNA US HEALTHCARE GROUP (01) | PA |
| 3716982 | AETNA US HEALTHCARE HMO (01) | PA |
| 5824670 | AETNA US HEALTHCARE (01) | PA |
| 923742 | BC/BS SHIELD HIGHMARK (01) | PA |
| G87538 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.