Healthcare Provider Details

I. General information

NPI: 1851322788
Provider Name (Legal Business Name): KAREN FONTAINE MARCHAND M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE KS 338
BOSTON MA
02215-5400
US

IV. Provider business mailing address

175 LOWELL ST
READING MA
01867-2133
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-7110
  • Fax: 617-667-1551
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: