Organization
BROCKTON CARDIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW L KRIEGEL M.D. (PRESIDENT)
(508) 583-6262
Entity
Organization
Contact information
Practice address
210 QUINCY AVE, BROCKTON, MA 02302-2862
(508) 583-6262
(508) 583-1783
Mailing address
210 QUINCY AVE, BROCKTON, MA 02302-2862
(508) 583-6262
(508) 583-1783
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122415
AETNA GROUP #
MA
01
—
25227
UNITED GROUP #
MA
01
—
600871
TUFTS GROUP #
MA
05
—
9769153
—
MA
01
—
M15659
BCBS GROUP #
MA
Enumeration date
10/12/2006
Last updated
08/22/2020
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