Alexandra Anne Carlson, MD
Family Medicine in Middletown, CT. Individual provider (NPI-1).
NPI number1063900983
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1063900983
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Anne Carlson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2018
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 70668 | CT | Yes |
Practice location
28 Crescent StMiddletown, CT 06457-3650
Phone 860-358-4798
Mailing address
90 S Main StMiddletown, CT 06457-3649
Phone 860-358-6486
Other practice locations
90 S Main St
Middletown, CT 06457-3649
Middletown, CT 06457-3649
Phone 860-358-6486
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