Individual
DR. KAREN MARIE FANUCCI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4181
(978) 371-7778
(978) 369-9514
Mailing address
95 MEADOW LN, BOXBOROUGH, MA 01719-2123
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
55349
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-04867
UNITED HEALTH
MA
01
—
055349
TUFTS
MA
01
—
2190590
AETNA
MA
01
—
2950503005
CIGNA
MA
01
—
36408
FALLON
MA
01
—
AM1070
HARVARD PILGRIM
MA
01
—
J14816
BLUE CROSS OF MA
MA
Enumeration date
02/06/2006
Last updated
07/08/2007
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