Provider Demographics
NPI:1659397230
Name:CARESKEY, JOSHUA MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MARC
Last Name:CARESKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:489 STATE ST
Mailing Address - Street 2:SUITE 443
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6616
Mailing Address - Country:US
Mailing Address - Phone:207-973-8853
Mailing Address - Fax:207-973-6966
Practice Address - Street 1:489 STATE ST
Practice Address - Street 2:SUITE 443
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6616
Practice Address - Country:US
Practice Address - Phone:312-079-7388
Practice Address - Fax:207-973-6966
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01033852A2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100242070Medicaid
IN100242070Medicaid
IN223110MMMedicare PIN