Provider Demographics
NPI:1992971808
Name:CARLSON, ERIK JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:JAMES
Last Name:CARLSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1579 STRAITS TPKE
Mailing Address - Street 2:ACTIVE ORTHOPAEDICS
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1835
Mailing Address - Country:US
Mailing Address - Phone:203-758-1272
Mailing Address - Fax:203-758-1070
Practice Address - Street 1:1579 STRAITS TPKE
Practice Address - Street 2:ACTIVE ORTHOPAEDICS
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-1835
Practice Address - Country:US
Practice Address - Phone:203-758-1272
Practice Address - Fax:203-758-1070
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT53147207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery