Provider Demographics
NPI:1164416103
Name:MAFTEI, CARMEN (PA)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:
Last Name:MAFTEI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 POST RD
Mailing Address - Street 2:WEBHANNET INTERNAL MEDICINE ASSOCIATES OF YORK HOSPITAL
Mailing Address - City:MOODY
Mailing Address - State:ME
Mailing Address - Zip Code:04054
Mailing Address - Country:US
Mailing Address - Phone:207-646-8386
Mailing Address - Fax:
Practice Address - Street 1:277 POST RD
Practice Address - Street 2:WEBHANNET INTERNAL MEDICINE ASSOCIATES OF YORK HOSPITAL
Practice Address - City:MOODY
Practice Address - State:ME
Practice Address - Zip Code:04054
Practice Address - Country:US
Practice Address - Phone:207-646-8386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPAN2017207R00000X, 363A00000X
NH0481P207R00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3087962Medicaid
NHAP1992Medicare PIN
NH3087962Medicaid
NHP9674Medicare UPIN