Freccero Medical Associates Pc | |
77 Byron Ave Brockton MA 02301-4201 | |
(508) 583-7595 | |
(508) 559-2278 |
Full Name | Freccero Medical Associates Pc |
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Speciality | Internal Medicine |
Location | 77 Byron Ave, Brockton, Massachusetts |
Authorized Official Name and Position | Robyn Fay (DIRECTOR) |
Authorized Official Contact | 5086382532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freccero Medical Associates Pc 77 Byron Ave Brockton MA 02301-4201 Ph: (508) 583-7595 | Freccero Medical Associates Pc 77 Byron Ave Brockton MA 02301-4201 Ph: (508) 583-7595 |
NPI Number | 1124315056 |
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Provider Enumeration Date | 06/29/2011 |
Last Update Date | 06/29/2011 |
Medicare PECOS PAC ID | 9335319797 |
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Medicare Enrollment ID | O20110823000603 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124315056 | NPI | - | NPPES |
3191575 | Medicaid | MA | |
66675 | Other | MA | HARVARD PILGRIM |
M19070 | Other | MA | BLUE CROSS BLUE SHIELD |
3078300 | Other | MA | AETNA |
J16953 | Other | MA | BCBS |
0403406 | Other | MA | UNITED HEALTH CARE |
15454 | Other | MA | TUFTS HEALTHCARE |
0077646 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Edward Freccero |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679665442 PECOS PAC ID: 1951571314 Enrollment ID: I20110823000639 |
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