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NPI Code Detail

MEDICARE: DR. STEFAN G KAROS M.D.

MEDICARE: DR. STEFAN G KAROS M.D.
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
1208800000XUrology Physician73838MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14427OTHERMAFALLON
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4073838OTHERMATUFTS

General Provider Information

NPI Number : 1376530378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEFAN G KAROS M.D.
Provider Business Mailing Address
First Line : 50 MEMORIAL DR
Second Line : SUITE 104
City : LEOMINSTER
State : MA
Zip : 01453-2238
Country : US
Telephone Number : 978-798-1418
Fax Number :
Provider Business Practice Location Address
First Line : 50 MEMORIAL DR
Second Line : SUITE 104
City : LEOMINSTER
State : MA
Zip : 01453-2238
Country : US
Telephone Number : 978-466-4075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 06/18/2021

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