JENNIFER FANTASIA

WORCESTER, MA
NPI1053799726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MA  283649)
Additional Taxonomies208600000X Surgery
(Licence: RI  LP03299)
Enumeration Date2015-05-13
Last Update Date2020-10-27
Business Address
JENNIFER FANTASIA M.D.
33 KENDALL ST
WORCESTER, MA 01605-2726
Phone number: 083-348-7655
Mailing Address
JENNIFER FANTASIA M.D.
PO BOX 415348
BOSTON, MA 02241-5348
Phone number:
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