Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 152090 | MA |
N | 111NI0900X | Internist | 152090 | MA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 047104 | CT |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 152090 | MA |
NPI | 1013983691 |
---|---|
Provider Name | Dr. Eva Karacsonyi |
First Address | Springfield, MA 01104 |
Second Address | Springfield, MA 01104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 24/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0148482 | (05) | MA |
H48162 | (02) |