Provider Demographics
NPI:1932252897
Name:MARSIAN, KAREN ELIZABETH (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELIZABETH
Last Name:MARSIAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 DWIGHT ROAD
Mailing Address - Street 2:SUITE 13 W1
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106
Mailing Address - Country:US
Mailing Address - Phone:413-567-7600
Mailing Address - Fax:413-565-2451
Practice Address - Street 1:123 DWIGHT ROAD
Practice Address - Street 2:SUITE 13 W1
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106
Practice Address - Country:US
Practice Address - Phone:413-567-7600
Practice Address - Fax:413-565-2451
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1957213E00000X
CT000535213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y77212OtherBCBS GROUP #
U17652Medicare UPIN
MAY70935Medicare ID - Type UnspecifiedBCBS INDIVIDUAL #