CARLA V. ERRICKSON, MD


Address: 65 Congressional Blvd, Washington, NJ 07882-1525
Phone: 9086891341

CARLA V. ERRICKSON, MD (NPI# 1285047209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285047209
Entity Type Organization
Organization Name CARLA V. ERRICKSON, MD
Practice Address 65 Congressional Blvd
Washington
NJ 07882-1525
Practice Telephone 9086891341
Mailing Telephone 9086891341
Enumeration Date 2014-06-06
Last Update Date 2014-06-06
Authorized Official Name DR. CARLA V ERRICKSON (DERMATOLOGIST)
Authorized Official Telephone 9086891341
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
25MA06680700 NJ Ambulatory Health Care Facilities

Office Location

Street Address 65 CONGRESSIONAL BLVD
City WASHINGTON
State NJ
Zip Code 07882-1525

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City WASHINGTON
Zip Code 07882

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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