Provider Demographics
NPI:1922411479
Name:CARTTER, MATTHEW LEWIS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:LEWIS
Last Name:CARTTER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CAPITOL AVE
Mailing Address - Street 2:CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-1367
Mailing Address - Country:US
Mailing Address - Phone:860-509-7995
Mailing Address - Fax:860-509-7910
Practice Address - Street 1:410 CAPITOL AVE
Practice Address - Street 2:CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-1367
Practice Address - Country:US
Practice Address - Phone:860-509-7995
Practice Address - Fax:860-509-7910
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0264122083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine