Healthcare Provider Details

I. General information

NPI: 1316002884
Provider Name (Legal Business Name): ROBERT A KARR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NORTH EAST AREA OFFICE
TEWKSBURY MA
01876
US

IV. Provider business mailing address

308 OAK HILL CIR
CONCORD MA
01742-2064
US

V. Phone/Fax

Practice location:
  • Phone: 978-863-5054
  • Fax:
Mailing address:
  • Phone: 978-371-9539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number73911
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: