Individual
MRS. LINDA DEFRUSCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 MAIN ST STE 4, WINCHESTER, MA 01890-1997
(617) 964-1000
Mailing address
133 DEXTER AVE, WATERTOWN, MA 02472-4226
(617) 964-1000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
633
MA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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