Provider Demographics
NPI:1902878457
Name:SZCZECHOWICZ, KAREN PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:PATRICIA
Last Name:SZCZECHOWICZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39 CROSS ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1670
Mailing Address - Country:US
Mailing Address - Phone:978-538-3131
Mailing Address - Fax:978-538-1909
Practice Address - Street 1:39 CROSS ST
Practice Address - Street 2:SUITE 306
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1670
Practice Address - Country:US
Practice Address - Phone:978-538-3131
Practice Address - Fax:978-538-1909
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA80041208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3140938Medicaid
MA30733Medicare ID - Type Unspecified
MA3140938Medicaid