Individual
MARY SHANNON FRACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, BOSTON, MA 02114-2696
(617) 724-3481
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET, BOSTON, MA 02114
(617) 724-8707
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
L-224326
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079138/A
—
MA
Enumeration date
02/26/2007
Last updated
11/29/2011
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