Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | D0044742 | MD |
Y | 2086S0122X | Plastic and Reconstructive Surgery | D0044742 | MD |
NPI | 1306824123 |
---|---|
Provider Name | Dr. Robert John Carpenter |
First Address | Cumberland, MD 21502-2590 |
Second Address | Cumberland, MD 21502-1817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 14/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3590216 00 | (05) | MD |
G09847 | (02) |