Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jackie S Fantes, MD

Individual provider Family Medicine Physician · NPI 1275530719

Dr. Jackie S Fantes, MD is a Family Medicine Physician in East Boston, Massachusetts. Works from 5 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10 Gove St
East Boston, MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 301 Columbia Rd, Boston, MA 02121-3409 — (617) 237-6838
  • 179 Quincy St Ste 2, Brockton, MA 02302-2966 — (508) 283-3154
  • 50 Boston St, Lynn, MA 01904-2538 — (781) 342-4191
  • 205 Parkingway, Quincy, MA 02169 — (617) 820-5968

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 261649 (MA)

Record details

NPI number1275530719
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESMay 8, 2024
Certification dateApril 29, 2024

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