Provider Demographics
NPI:1528118767
Name:KARAS, PETER BERNARD (DC)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:BERNARD
Last Name:KARAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-1108
Mailing Address - Country:US
Mailing Address - Phone:973-827-8150
Mailing Address - Fax:973-827-9289
Practice Address - Street 1:11 VERNON AVE
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NJ
Practice Address - Zip Code:07419-1108
Practice Address - Country:US
Practice Address - Phone:973-827-8150
Practice Address - Fax:973-827-9289
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00203600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5803166OtherGHI
NJP690956OtherOXFORD
NJ1031877OtherASHN
NJ4352302OtherAETNA
NJ600042OtherUNITED HEALTHCARE
NJKA453447Medicare ID - Type Unspecified