Female

Dr. Karen M. Fanucci MD

Adult Medicine Physician in Concord, MA(View on Map)

Full Name

Dr. Karen Marie Fanucci MD

NPI Number

1679545339

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/06/2006

Specialties

(Taxonomies)

Code

207QA0505X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

55349

Contact
Information

Purpose

Mailing
Location

Address

95 MEADOW LN
131 OLD ROAD TO 9 ACRE COR

City

Boxborough
Concord

State

MA
MA

Postal Code

01719-2123
01742-4181

Country

US
US

Telephone Number

N/A
(978) 371-7778

Identifiers

Identifier

2190590
J14816
2950503005
36408
055349
AM1070
04-04867

Identifier State

MA
MA
MA
MA
MA
MA
MA

Identifier Issuer

AETNA
BLUE CROSS OF MA
CIGNA
FALLON
TUFTS
HARVARD PILGRIM
UNITED HEALTH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address