Individual
GRETA TAITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD CM FRCP(C) FACG
Contact information
Practice address
475 FRANKLIN ST, SUITE 110, FRAMINGHAM, MA 01702-6264
(508) 620-9200
(508) 620-6483
Mailing address
475 FRANKLIN ST, SUITE 110, FRAMINGHAM, MA 01702-6264
(508) 620-9200
(508) 620-6483
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
78117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3111814
—
MA
Enumeration date
02/24/2006
Last updated
12/29/2015
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