| Freccero Medical Associates Pc | |
|
77 Byron Ave Brockton MA 02301-4201 | |
| (508) 583-7595 | |
| (508) 559-2278 |
| Full Name | Freccero Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 77 Byron Ave, Brockton, Massachusetts |
| Authorized Official Name and Position | Robyn Fay (DIRECTOR) |
| Authorized Official Contact | 5086382532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freccero Medical Associates Pc 77 Byron Ave Brockton MA 02301-4201 Ph: (508) 583-7595 | Freccero Medical Associates Pc 77 Byron Ave Brockton MA 02301-4201 Ph: (508) 583-7595 |
| NPI Number | 1124315056 |
|---|---|
| Provider Enumeration Date | 06/29/2011 |
| Last Update Date | 06/29/2011 |
| Medicare PECOS PAC ID | 9335319797 |
|---|---|
| Medicare Enrollment ID | O20110823000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124315056 | NPI | - | NPPES |
| 3191575 | Medicaid | MA | |
| 66675 | Other | MA | HARVARD PILGRIM |
| M19070 | Other | MA | BLUE CROSS BLUE SHIELD |
| 3078300 | Other | MA | AETNA |
| J16953 | Other | MA | BCBS |
| 0403406 | Other | MA | UNITED HEALTH CARE |
| 15454 | Other | MA | TUFTS HEALTHCARE |
| 0077646 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward Freccero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679665442 PECOS PAC ID: 1951571314 Enrollment ID: I20110823000639 |
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