Organization
ANDREA J. FRIBUSH, MD LLC
Active
Other names
Andrea J. Fribush
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA J. FRIBUSH M.D. (OWNER)
(978) 371-7176
Entity
Organization
Contact information
Practice address
131 OLD ROAD TO 9 ACRE COR, SUITE 570, CONCORD, MA 01742-4181
(978) 371-7176
(978) 371-7136
Mailing address
131 OLD ROAD TO 9 ACRE COR, SUITE 570, CONCORD, MA 01742-4181
(978) 371-7176
(978) 371-7136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
74708
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031521
NEIGHBORHOOD HEALTH CARE
MA
01
—
59676
FALLON
MA
01
—
M18334
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
05/15/2007
Last updated
03/31/2008
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