Individual
MS. CHRISTINA M. DEFUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE B, BOSTON, MA 02118
(617) 638-8456
(617) 638-8465
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN202587
MA
363LC0200X
Critical Care Medicine Nurse Practitioner
202587
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085493A
—
MA
Enumeration date
02/17/2010
Last updated
07/16/2014
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