NPI 1053799726

Jennifer Fantasia, MD

Practitioner Urology Physician Worcester, MA

Practice location

Address: 33 Kendall St, Worcester, MA 01605-2726
Phone: (083) 348-7655
Fax: (508) 334-9477
Mailing address: PO Box 415348, Boston, MA 02241-5348

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 283649 (MA)

Other Urology providers in Massachusetts →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence LP03299 (RI)

Other Surgery providers in Massachusetts →

Registry record

NPI: 1053799726
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2015
Record last updated: 27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.