Individual
DR. GREGORY LEWIS FRICCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, PSYCHIATRY ASSOCIATES INPATIENT CONSULT WRN 615A, BOSTON, MA 02114-2696
(617) 726-7695
(617) 726-5946
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77322
MA
2084P0805X
Geriatric Psychiatry Physician
77322
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3112144
—
MA
01
—
731503
TUFTS HEALTH PLAN
MA
01
—
J14091
BCBS MA
MA
Enumeration date
11/14/2005
Last updated
09/23/2010
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