Provider Demographics
NPI:1457943607
Name:CARLSSON, MARCUS (MD PHD ASSOC PROF)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:CARLSSON
Suffix:
Gender:M
Credentials:MD PHD ASSOC PROF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6311 HERKOS CT
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3344
Mailing Address - Country:US
Mailing Address - Phone:202-560-0059
Mailing Address - Fax:
Practice Address - Street 1:NATIONAL INSTITUTES OF HEALTH 10 CENTER DR RM 2C713
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:240-255-8613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD048555207RM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RM1200XAllopathic & Osteopathic PhysiciansInternal MedicineMagnetic Resonance Imaging (MRI)