National Provider Identifier
Richard Andrew Carlson Jr, MD
Richard Andrew Carlson Jr, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Tonawanda, NY and a listed phone number of (716) 332-4476.
Profile Overview
- NPI
- 1740246735
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 26, 2006
- Last Updated
- January 25, 2013
Practice Location
- 1491 Sheridan Dr
- Sheridan Medical Group
- Tonawanda, NY 14217-1234
Phone: (716) 332-4476
Mailing Address
- 1491 Sheridan Dr
- Tonawanda, NY 14217-1234
Specialties
- Internal Medicine Physician (207R00000X)
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Full Record
- NPI
- 1740246735
- Entity Type
- Individual
- Last Name
- Carlson Jr
- First Name
- Richard
- Middle Name
- Andrew
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1491 Sheridan Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1234
- Mailing Country
- US
- Mailing Phone
- (716) 332-4476
- Mailing Fax
- (716) 332-4479
- Practice Street Address
- 1491 Sheridan Dr
- Practice Address Line 2
- Sheridan Medical Group
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14217-1234
- Practice Country
- US
- Practice Phone
- (716) 332-4476
- Practice Fax
- (716) 332-4479
- Enumeration Date
- April 26, 2006
- Last Updated
- January 25, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Other Identifiers
- 01226122 (NY)