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Contact Information

KAREN M FANUCCI, MD
131 OLD ROAD TO 9 ACRE COR
CONCORD, MA01742-4181
 Phone: 978-371-7778
 Fax: 978-369-9514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KAREN M FANUCCI · (Female)

NPI Number 1679545339
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 55349
  • MA Other 2190590 AETNA
  • MA Other J14816 BLUE CROSS OF MA
  • MA Other 2950503005 CIGNA
  • MA Other 36408 FALLON
  • MA Other AM1070 HARVARD PILGRIM
  • MA Other 055349 TUFTS
  • MA Other 04-04867 UNITED HEALTH
Hospital affiliation(s)
  • EMERSON HOSPITAL - (Acute Care)
    OLD ROAD TO 9 ACRE CORNER
    W CONCORD, MA 01742
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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