Healthcare Provider Details

I. General information

NPI: 1730754276
Provider Name (Legal Business Name): JOHN C KARVELAS RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JACK C KARVELAS RRT

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 07/26/2026
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 COLLINS ST UNIT 1
DANVERS MA
01923-3500
US

IV. Provider business mailing address

132 COLLINS ST UNIT 1
DANVERS MA
01923-3500
US

V. Phone/Fax

Practice location:
  • Phone: 617-771-9142
  • Fax:
Mailing address:
  • Phone: 617-771-9142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number1423
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: