Organization
RICARDO TDD CARTER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO TDD CARTER MD (PHYSICIAN)
(717) 242-3760
Entity
Organization
Contact information
Practice address
310 ELECTRIC AVE, SUITE 231, LEWISTOWN, PA 17044-1369
(717) 242-3760
(717) 242-6230
Mailing address
310 ELECTRIC AVE, SUITE 231, LEWISTOWN, PA 17044-1369
(717) 242-3760
(717) 242-6230
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD041163E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011276300004
—
PA
01
—
02631300
CAPITAL BLUE CROSS
PA
01
—
1151
GEISINGER HEALTH PLAN
PA
01
—
172240
MEDICARE PTAN
PA
01
—
1802533
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/22/2006
Last updated
09/13/2022
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