| Dr Roy Douglas Carlson, MD | |
|
204 Ark Rd, Suite 102, Mount Laurel, NJ 08054-3100 | |
| (856) 602-4000 | |
| (856) 946-1747 |
| Full Name | Dr Roy Douglas Carlson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 204 Ark Rd, Mount Laurel, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932142858 | NPI | - | NPPES |
| 0371408 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MA46109 (New Jersey) | Primary |
| Entity Name | Regional Otolaryngology Head And Neck Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528426 PECOS PAC ID: 9739162637 Enrollment ID: O20040611000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy Douglas Carlson, MD Po Box 95000-5585, Philadelphia, PA 19195-5585 Ph: (856) 667-1575 | Dr Roy Douglas Carlson, MD 204 Ark Rd, Suite 102, Mount Laurel, NJ 08054-3100 Ph: (856) 602-4000 |
Dr. Anthony Cultrara, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 204 Ark Rd Ste 102, Mount Laurel, NJ 08054 Phone: 856-576-5743 Fax: 856-519-5435 | |
Saurin Sanghvi, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 204 Ark Rd Ste 102, Mount Laurel, NJ 08054 Phone: 856-657-6574 Fax: 856-519-5435 | |
Michael Hall, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 204 Ark Rd Ste 102, Mount Laurel, NJ 08054 Phone: 856-602-4000 Fax: 856-946-1747 |