Individual
GRETA I WIENER FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 ORNAC, SUITE 1, CONCORD, MA 01742-3317
(978) 371-0302
(978) 371-2240
Mailing address
59 ORNAC, SUITE 1, CONCORD, MA 01742-3317
(978) 371-0302
(978) 371-2240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
164832
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365190
—
MA
01
—
NP4484
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/12/2010
Last updated
05/11/2010
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