Defusco, Christina M.

Defusco, Christina M. is an individual health care provider with primary practice located at 725 Albany Street Shapiro 7, Suite B, Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Defusco, Christina M. can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany Street Shapiro 7, Suite B Boston MA 02118
Phone: (617) 638-8456
Fax: (617) 638-8465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN202587 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 202587 Massachusetts

Profile Details

NPI number 1396067401
LBN Legal business name Defusco, Christina M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Jul 16th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396067401 NPPES
Massachusetts MEDICAID 110085493A

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