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General NPI Number Information
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NPI Number | 1326049669
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Entity Type | Individual
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Provider Name | NICHOLAS KARAMITSIOS MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 55 HIGHLAND AVE STE 304
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City | SALEM
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State | MA
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Zip | 01970-2100
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Country | US
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Telephone | 978-741-4171
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Fax | 978-741-4283
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Provider Business Mailing Address
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Address Line | 340 MAIN ST STE. 670
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City | WORCESTER
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State | MA
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Zip | 01608-1604
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Country | US
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Telephone | 508-754-3566
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Fax | 508-798-8012
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 81243
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License Number State | MA
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