Provider Demographics
NPI:1245211903
Name:MCCARTNEY, MICHAEL J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:MCCARTNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 ASH ST
Mailing Address - Street 2:P O BOX 88
Mailing Address - City:WEST NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01985-2313
Mailing Address - Country:US
Mailing Address - Phone:978-462-7296
Mailing Address - Fax:
Practice Address - Street 1:18 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3812
Practice Address - Country:US
Practice Address - Phone:978-462-9571
Practice Address - Fax:978-462-1459
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA76514207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ11260OtherBCBS MA
MA3079414Medicaid
E88836Medicare UPIN
MA3079414Medicaid