Provider Demographics
NPI:1033198767
Name:MCCARTEN, MICHAEL D (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:MCCARTEN
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:5 INDUSTRIAL DR UNIT B
Mailing Address - Street 2:ELLIOT FAMILY MEDICINE AT WINDHAM
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-2021
Mailing Address - Country:US
Mailing Address - Phone:603-894-0063
Mailing Address - Fax:603-894-9727
Practice Address - Street 1:5 INDUSTRIAL DR UNIT B
Practice Address - Street 2:ELLIOT FAMILY MEDICINE AT WINDHAM
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-2021
Practice Address - Country:US
Practice Address - Phone:603-894-0063
Practice Address - Fax:603-894-9727
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5129207Q00000X
NH16348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3091703Medicaid
NHT400107534Medicare PIN