Organization
FRECCERO MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBYN FAY (DIRECTOR)
(508) 638-2532
Entity
Organization
Contact information
Practice address
77 BYRON AVE, BROCKTON, MA 02301-4201
(508) 583-7595
(508) 559-2278
Mailing address
77 BYRON AVE, BROCKTON, MA 02301-4201
(508) 583-7595
(508) 559-2278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077646
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0403406
UNITED HEALTH CARE
MA
01
—
15454
TUFTS HEALTHCARE
MA
01
—
3078300
AETNA
MA
05
—
3191575
—
MA
01
—
66675
HARVARD PILGRIM
MA
01
—
J16953
BCBS
MA
01
—
M19070
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/29/2011
Last updated
06/29/2011
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