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NPI Verification

National Provider Identifier: 1053799726

Jennifer Fantasia, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Surgery

Code: 208600000X

Urology

Code: 208800000X

Primary

Practice Address

PO BOX 415348

BOSTON, MA 022415348

NPI Enumeration Date

May 13, 2015

NPI Number

1053799726

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