Provider Demographics
NPI:1982164976
Name:KITA, FILZA (DO)
Entity Type:Individual
Prefix:
First Name:FILZA
Middle Name:
Last Name:KITA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 MAPLE ST STE 3A
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-4067
Mailing Address - Country:US
Mailing Address - Phone:978-406-4234
Mailing Address - Fax:978-921-2968
Practice Address - Street 1:480 MAPLE ST STE 3A
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-4067
Practice Address - Country:US
Practice Address - Phone:978-406-4234
Practice Address - Fax:978-921-2968
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11495700208000000X
MA390200000X
MA1015969208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program