Individual
MARY E FRISELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 764-6041
(508) 764-6318
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
043380
CT
207RC0000X
Cardiovascular Disease Physician
Primary
213146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001433804
—
CT
Enumeration date
06/05/2006
Last updated
02/24/2022
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