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
Phone: (617) 724-3481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235265943 | NPPES |
| Massachusetts | MEDICAID | 110079138/A |
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