Provider Demographics
NPI:1669505269
Name:VICTOR, KAREN ESTHER (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ESTHER
Last Name:VICTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:725 CONCORD AVE STE 2000
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-1052
Mailing Address - Country:US
Mailing Address - Phone:617-661-4600
Mailing Address - Fax:617-547-9170
Practice Address - Street 1:725 CONCORD AVE STE 2000
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1052
Practice Address - Country:US
Practice Address - Phone:617-661-4600
Practice Address - Fax:617-547-9170
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA56133207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3125823Medicaid
MAF25206Medicare UPIN
MA3125823Medicaid