Individual
REBECCA ANN KONIECZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
323 LOWELL ST, ANDOVER, MA 01810
(978) 783-5000
(978) 313-8180
Mailing address
323 LOWELL ST, ANDOVER, MA 01810-4501
(978) 783-5000
(978) 313-8180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
240048
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087762A
—
MA
Enumeration date
02/27/2007
Last updated
10/25/2018
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