Individual
DR. CHARLES M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 CAMPUS DRIVE, SUITE 1, SCARBOROUGH, ME 04074
(207) 885-9905
(207) 396-5600
Mailing address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 885-9905
(207) 396-5600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD14820
ME
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD14820
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036253
ANTHEM
ME
01
—
30200245
NEW HAMPSHIRE MEDICAID
NH
05
—
319330099
—
ME
Enumeration date
06/16/2006
Last updated
03/10/2025
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