Provider Demographics
NPI:1720247901
Name:BARTHELEMY, MARKINTOSH (MD)
Entity Type:Individual
Prefix:
First Name:MARKINTOSH
Middle Name:
Last Name:BARTHELEMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 HIGHWAY 35
Mailing Address - Street 2:UNIT G
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4765
Mailing Address - Country:US
Mailing Address - Phone:732-455-8444
Mailing Address - Fax:732-361-0728
Practice Address - Street 1:731 HIGHWAY 35
Practice Address - Street 2:UNIT G
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4765
Practice Address - Country:US
Practice Address - Phone:732-455-8444
Practice Address - Fax:732-361-0728
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245209207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine