Provider Demographics
NPI:1871695072
Name:CARTER, CYNTHIA S (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1870 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2408
Mailing Address - Country:US
Mailing Address - Phone:617-432-1370
Mailing Address - Fax:617-432-7120
Practice Address - Street 1:75 MOUNT AUBURN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4960
Practice Address - Country:US
Practice Address - Phone:617-432-1370
Practice Address - Fax:617-432-7120
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA783122084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAE50418Medicare UPIN
MAA29989Medicare ID - Type Unspecified