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Individual

KAREN ANN DEFAZIO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14 PROSPECT STREET, MILFORD-WHITINSVILLE HOS, MILFORD, MA 01757
(508) 473-1190
Mailing address
46 LATISQUAMA RD, SOUTHBOROUGH, MA 01772-1609
(508) 473-1190

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
74130
MA

Other

Enumeration date
06/01/2006
Last updated
07/08/2007
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