MEDICARE: ANITA KARCZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	40363	MA

General Provider Information

NPI Number	:	1730136425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA KARCZ M.D.

Provider Business Mailing Address
First Line	:	89 BAILEY RD
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-4925
Country	:	US
Telephone Number	:	617-923-1650
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 BAILEY RD
Second Line	:
City	:	EAST WATERTOWN
State	:	MA
Zip	:	02472-4925
Country	:	US
Telephone Number	:	617-923-1650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	07/08/2007

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