Breen Greally, Stacey Marie

Breen Greally, Stacey Marie is an individual health care provider with primary practice located at 93 Pond St Beth Israel Deaconess Health Care- Sharon, Sharon MA 02067-2015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Breen Greally, Stacey Marie can be contacted via phone (781) 784-9212.

Contact Information

Primary practice address
93 Pond St Beth Israel Deaconess Health Care- Sharon Sharon MA 02067-2015
Phone: (781) 784-9212
Fax: (781) 784-7671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 216484 Massachusetts

Profile Details

NPI number 1821087289
LBN Legal business name Breen Greally, Stacey Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Aug 10th, 2016 - about 9 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 1821087289 NPPES
Massachusetts MEDICAID 2076501

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