Provider Demographics
NPI:1710914502
Name:CARTER, PETER KURTZ (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:KURTZ
Last Name:CARTER
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 1:789 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-740-4478
Mailing Address - Fax:
Practice Address - Street 1:789 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-740-2832
Practice Address - Fax:603-740-2833
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME010237208600000X
NH6896208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME143440000Medicaid
NH3082846Medicaid
NHP00876169OtherRAILROAD MEDICARE
NHP00876169OtherRAILROAD MEDICARE
NH3082846Medicaid
NH01544505Medicare PIN
NH01544505Medicare PIN
ME01544506Medicare PIN