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Individual

DR. J. GREGORY CORRODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
541 MAIN ST, SUITE 400, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1200
(781) 340-1610
Mailing address
541 MAIN ST, SUITE 400, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1200
(781) 340-1610

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76240
MA
207RC0000X
Cardiovascular Disease Physician
Primary
76240
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005553
NEIGHBORHOOD HEALTH PLAN
MA
05
3107183
MA
01
39438
FALLON COMMUNITY HEALTH
MA
01
66327
HARVARD PILGRIM
MA
01
730784
TUFTS HEALTH PLAN
MA
01
J13664
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/21/2005
Last updated
03/13/2014
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