Basic Information
Provider Information
NPI: 1144294935
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARPICZ
FirstName: JOSEPH
MiddleName: PETER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 52 BARTHOLOMEW ST
Address2:  
City: PEABODY
State: MA
PostalCode: 019606204
CountryCode: US
TelephoneNumber: 9785313774
FaxNumber:  
Practice Location
Address1: 81 HIGHLAND AVE
Address2:  
City: SALEM
State: MA
PostalCode: 019702714
CountryCode: US
TelephoneNumber: 9787411200
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/16/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X77878MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
002601801MANEIGHBORHOOD HEALTH PLANOTHER
69097601MAHARVARD PILGRIM FIRST SECOTHER
314890405MA MEDICAID
3317291-00601MASIGNAOTHER
40630601MATUFTS SECURE HORIZONSOTHER


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