Provider Demographics
NPI:1891767315
Name:TRAIT, KAREN A (PA-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:TRAIT
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:26 SHORE ST
Mailing Address - Street 2:APT 3
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-3167
Mailing Address - Country:US
Mailing Address - Phone:617-792-0078
Mailing Address - Fax:508-540-1677
Practice Address - Street 1:360 GIFFORD ST
Practice Address - Street 2:UNIT 2B
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2912
Practice Address - Country:US
Practice Address - Phone:508-540-0200
Practice Address - Fax:508-540-1677
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2009-12-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAP2504Medicare ID - Type Unspecified
MAQ55376Medicare UPIN