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NPI Code Detail

MEDICARE: NICHOLAS KARAMITSIOS MD

MEDICARE: NICHOLAS KARAMITSIOS MD
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
1207RG0100XGastroenterology Physician81243MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326049669
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS KARAMITSIOS MD
Provider Business Mailing Address
First Line : 340 MAIN ST
Second Line : STE. 670
City : WORCESTER
State : MA
Zip : 01608-1604
Country : US
Telephone Number : 508-754-3566
Fax Number : 508-798-8012
Provider Business Practice Location Address
First Line : 55 HIGHLAND AVE
Second Line : STE 304
City : SALEM
State : MA
Zip : 01970-2100
Country : US
Telephone Number : 978-741-4171
Fax Number : 978-741-4283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/14/2009

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Directions to “ NICHOLAS KARAMITSIOS MD” Practice Location

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