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JOHN P FANTEGROSSI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7721
(617) 739-8632
Mailing address
34 PHILLIP DR, BELLINGHAM, MA 02019-1112
(508) 966-1057

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
229328
MA

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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