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)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