Individual
DR. STACEY MARIE BREEN GREALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
93 POND ST, BETH ISRAEL DEACONESS HEALTH CARE- SHARON, SHARON, MA 02067-2015
(781) 784-9212
(781) 784-7671
Mailing address
93 POND ST, BETH ISRAEL DEACONESS MEDICAL CENTER, SHARON, MA 02067-2015
(781) 784-9212
(781) 784-7671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216484
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076501
—
MA
Enumeration date
10/18/2005
Last updated
08/10/2016
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