Provider Demographics
NPI:1437197704
Name:PITT, KARA A (MD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:A
Last Name:PITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:680 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-3308
Mailing Address - Country:US
Mailing Address - Phone:508-941-7009
Mailing Address - Fax:508-941-6337
Practice Address - Street 1:1470 NEW STATE HWY
Practice Address - Street 2:ROUTE 44
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5420
Practice Address - Country:US
Practice Address - Phone:508-822-6800
Practice Address - Fax:508-822-0996
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA216479207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2001845Medicaid
MA2001845Medicaid