Fracchia, Mary Shannon

Fracchia, Mary Shannon is an individual health care provider with primary practice located at Massachusetts General Hospital 55 Fruit Street, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Fracchia, Mary Shannon can be contacted via phone (617) 724-3481.

Contact Information

Primary practice address
Massachusetts General Hospital 55 Fruit Street Boston MA 02114-2696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X L-224326 Massachusetts

Profile Details

NPI number 1235265943
LBN Legal business name Fracchia, Mary Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Nov 29th, 2011 - about 13 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 1235265943 NPPES
Massachusetts MEDICAID 110079138/A

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