National Provider Identifier

David Eugene Carlson Jr., M.D.

David Eugene Carlson Jr., M.D. is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in North Tonawanda, NY and a listed phone number of (716) 694-3541.

NPI 1710942859North Tonawanda, NYCardiovascular Disease Physician

Profile Overview

NPI
1710942859
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
April 20, 2006
Last Updated
September 21, 2011

Practice Location

  • 277 Division St
  • Suite 3
  • North Tonawanda, NY 14120-4667

Phone: (716) 694-3541

Mailing Address

  • 6255 Sheridan Dr
  • Suite 304
  • Williamsville, NY 14221-4836

Specialties

  • Cardiovascular Disease Physician (207RC0000X)
Full Record
NPI
1710942859
Entity Type
Individual
Last Name
Carlson
First Name
David
Middle Name
Eugene
Name Suffix
Jr.
Credential
M.D.
Mailing Street Address
6255 Sheridan Dr
Mailing Address Line 2
Suite 304
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4836
Mailing Country
US
Mailing Phone
(716) 857-8666
Mailing Fax
(716) 630-1054
Practice Street Address
277 Division St
Practice Address Line 2
Suite 3
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-4667
Practice Country
US
Practice Phone
(716) 694-3541
Practice Fax
(716) 694-3543
Enumeration Date
April 20, 2006
Last Updated
September 21, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X)
Other Identifiers
0661027 (NY)