Provider Demographics
NPI:1881935666
Name:MARK P CARTIER MD PC
Entity type:Organization
Organization Name:MARK P CARTIER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:P
Authorized Official - Last Name:CARTIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-363-8852
Mailing Address - Street 1:1 BRICKYARD LN STE EE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1681
Mailing Address - Country:US
Mailing Address - Phone:207-363-8852
Mailing Address - Fax:207-363-5999
Practice Address - Street 1:1 BRICKYARD LN STE EE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1681
Practice Address - Country:US
Practice Address - Phone:207-363-8852
Practice Address - Fax:207-363-5999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEME013318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM4333Medicare UPIN