MEDICARE: KAREN INGRID HUNT 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
1	207Q00000X	Family Medicine Physician	210574	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
11	080184401	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	713010	OTHER	MA	HARVARD PILGRIM HEALTHCAR
2	J24606	OTHER	MA	BLUE CROSS BLUE SHIELD
3	0025586	OTHER		NEIGHBORHOOD HEALTH PLAN
4	210574	OTHER	MA	TUFTS HEALTH PLAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	55403	OTHER		HEALTHSOURCE
8	974835	OTHER		NETWORK HEALTH
9	8710839	OTHER		CIGNA HEALTHCARE
10	01-01441	OTHER		EVERCARE
12	F68387	OTHER	NV	ANTHEM BLUE CROSS

General Provider Information

NPI Number	:	1891799524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN INGRID HUNT M.D.

Provider Business Mailing Address
First Line	:	25 MARSTON ST 3RD FL
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01841-2310
Country	:	US
Telephone Number	:	978-688-3100
Fax Number	:	978-557-8863

Provider Business Practice Location Address
First Line	:	25 MARSTON ST 3RD FL
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01841-2310
Country	:	US
Telephone Number	:	978-688-3100
Fax Number	:	978-557-8863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	02/11/2011

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