Provider Demographics
NPI:1295969103
Name:MUNKACY, KAREN
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:MUNKACY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CHESTNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1310
Mailing Address - Country:US
Mailing Address - Phone:732-236-4517
Mailing Address - Fax:617-738-1801
Practice Address - Street 1:116 CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1310
Practice Address - Country:US
Practice Address - Phone:732-236-4517
Practice Address - Fax:617-738-1801
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51301207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine