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NPI Verification

National Provider Identifier: 1023453628

Kathryn L. Fantasia, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

732 HARRISON AVE, FL 2

PRESTON BLDG

BOSTON, MA 021182309

Phone: 617-638-7470

NPI Enumeration Date

May 8, 2013

NPI Number

1023453628

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry