Provider Demographics
NPI:1689663650
Name:MARTINDALE, MADELEINE REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:REBECCA
Last Name:MARTINDALE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4 GLEN COVE DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4235
Mailing Address - Country:US
Mailing Address - Phone:207-592-5883
Mailing Address - Fax:207-593-5302
Practice Address - Street 1:4 GLEN COVE DR
Practice Address - Street 2:SUITE 5
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4235
Practice Address - Country:US
Practice Address - Phone:207-592-5883
Practice Address - Fax:207-593-5302
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2013-12-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME018423208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine