Defazio, Christopher L

Defazio, Christopher L is an individual health care provider with primary practice located at 585 Lebanon St , Melrose MA 02176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Defazio, Christopher L can be contacted via phone (781) 979-3635.

Contact Information

Primary practice address
585 Lebanon St Melrose MA 02176
Phone: (781) 979-3635
Fax: (781) 979-3018
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 58772 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58772 Massachusetts

Profile Details

NPI number 1396711602
LBN Legal business name Defazio, Christopher L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396711602 NPPES
Other 058772 TUFTS
MEDICAID 3042596 TUFTS
Other J07968 TUFTS
Other 665716 TUFTS

Popular Providers