Provider Demographics
NPI:1710935416
Name:KAROS, DARIA M (MD)
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:M
Last Name:KAROS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-6252
Mailing Address - Country:US
Mailing Address - Phone:978-342-4437
Mailing Address - Fax:603-673-9899
Practice Address - Street 1:881 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-6252
Practice Address - Country:US
Practice Address - Phone:978-342-4437
Practice Address - Fax:978-343-6572
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA74153208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3078621Medicaid
MA720687OtherTUFTS HEALTH PLAN
MA75574OtherAETNA HEALTHCARE
MA997497OtherNETWORK HEALTH
MA201047951OtherUNITED HEALTHCARE
MA204159OtherHARVARD PILGRIM
MA201047951OtherCIGNA HEALTHCARE
MA4431OtherFALLON COMMUNITY HEALTH
MAJ11237OtherBLUE CROSS
MA201047951OtherPHCS