Healthcare Provider Details

I. General information

NPI: 1932157765
Provider Name (Legal Business Name): NEIGHBORHOOD PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 SOUTH ST
FITCHBURG MA
01420-6252
US

IV. Provider business mailing address

PO BOX 2200
AMHERST NH
03031-4200
US

V. Phone/Fax

Practice location:
  • Phone: 978-342-4437
  • Fax: 978-343-6572
Mailing address:
  • Phone: 603-673-9411
  • Fax: 603-673-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DARIA KAROS
Title or Position: OWNER
Credential: M.D.
Phone: 978-342-4437