Mary S Carlson MD

NPI 1417020629 - Ophthalmology - 207W00000X

NPI Details
NPI 1417020629
Gender Female
Enumeration Date 11/16/2006
Last Updated 11/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
201 N WASHINGTON ST
KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER
FALLS CHURCH VA, 22046-4518, US
Phone (703) 237-4000
Fax (703) 536-1400
Business Location
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2424
Fax (301) 816-6308
Toxanomy
Taxonomy Code 207W00000X
License State DO Columbia
License Number MD16505
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According to our database, Dr. Mary S Carlson MD NPI is 1417020629, taxonomy code is 207W00000X and license number is MD16505, license state is located at DO Columbia. Mary S Carlson MD physically located at 201 N Washington St, Falls Church VA, 22046-4518. NPI Number Mary S Carlson MD has the Individual type.

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1417020629 NPI number is provided on an as is basis without warranty of any kind. 1417020629 is maintained by the National Plan & Provider Enumeration System. The contents of Mary S Carlson MD are for informational purposes only.