Active NPIIndividual provider

Mark A Kandutsch, MD

Family Medicine, Sports Medicine in Bar Harbor, Maine

NPI Number1194795799
Practice location
322 Main St, Bar Harbor, ME 04609-1648
Fax
207-288-8449
Last updated
June 23, 2017

Mark A Kandutsch is a Family Medicine, Sports Medicine based in Bar Harbor, ME. Mark A Kandutsch practices in Bar Harbor, ME and has the professional credentials of MD. The NPI Number for Mark A Kandutsch is 1194795799 and holds a License No. MD10687 (ME). The current practice location address for Mark A Kandutsch is 322 Main St, Bar Harbor, ME 04609-1648 and can be reached out via phone at 207-288-5081 and via fax at 207-288-8449.

Provider Profile Details

NPI Number
1194795799
Provider Name
Mark A Kandutsch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
322 Main St, Bar Harbor, ME 04609-1648
Phone Number
207-288-5081
Fax Number
207-288-8449
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2006
Last Update Date
June 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
322 Main St
Bar Harbor, ME 04609-1648
State
Maine
Zip
04609-1648
Phone Number
207-288-5081
Fax Number
207-288-8449
Bar Harbor, ME 04609Get directions →

Provider Business Mailing Address Details

Address
10 Wayman Ln
Bar Harbor, ME 04609-1625
City
Bar Harbor
State
ME
Zip
04609-1625
Phone Number
207-288-5081
Fax Number
207-288-8449

License Information

License Number
MD10687
License State
ME
Taxonomy
Family Medicine, Sports Medicine · 207QS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark A Kandutsch, MD?

The NPI number of Mark A Kandutsch, MD is 1194795799. It was assigned on January 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark A Kandutsch, MD?

Mark A Kandutsch, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in ME under license number MD10687.

Where does Mark A Kandutsch, MD practice?

The practice location is 322 Main St, Bar Harbor, ME 04609-1648. The office can be reached at 207-288-5081 (phone) or 207-288-8449 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194795799 directly on the NPPES registry website.

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