Individual provider · Type 1 NPI

Jennifer Fantasia, MD

Urology Physician · Worcester, MA

NPI number 1053799726 Active

Practice location

33 Kendall St
Worcester, MA 01605-2726

Call (083) 348-7655 Map

Fax (508) 334-9477

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X283649 (MA)
Surgery Physician 208600000XLP03299 (RI)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1053799726

Jennifer Fantasia, MD's National Provider Identifier is 1053799726, issued on May 13, 2015. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Worcester, MA. The record was last updated on Oct 6, 2026.