Fricchione, Gregory Lewis
Fricchione, Gregory Lewis is an individual health care provider with primary practice located at 55 Fruit St Psychiatry Associates Inpatient Consult Wrn 615A, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fricchione, Gregory Lewis can be contacted via phone (617) 726-7695.Contact Information
Primary practice address
55 Fruit St Psychiatry Associates Inpatient Consult Wrn 615A
Boston MA 02114-2696
Phone: (617) 726-7695
Fax: (617) 726-5946
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 77322 | Massachusetts |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 77322 | Massachusetts |
Profile Details
NPI number | 1699757963 |
---|---|
LBN Legal business name | Fricchione, Gregory Lewis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2005 |
Last updated | Sep 23rd, 2010 - about 15 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 | 1699757963 | NPPES |
Massachusetts | MEDICAID | 3112144 | |
Massachusetts | Other | 731503 | |
Massachusetts | Other | J14091 |
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