Andrea J. Fribush, MD LLC
Organization Active NPI Specialist · Concord, MA
NPI 1407062680 · NPPES record last updated Mar 31, 2008
Key facts
- NPI
- 1407062680
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 74708 (MA)
- Legal business name
- ANDREA J. FRIBUSH, MD LLC
- Practice address
- 131 Old Road to 9 Acre Cor
Suite 570
Concord, MA 01742-4181 - Phone
- (978) 371-7176
- Fax
- (978) 371-7136
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrea J. Fribush, M.D.
- Title
- Owner
- Phone
- (978) 371-7176
National Provider Directory
Locations
131 Ornac
Ste 570
Concord, MA 01742
Phone (978) 371-7176
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 74708 | MA | Yes |
Addresses
Primary practice location
131 Old Road to 9 Acre Cor
Suite 570
Concord, MA 01742-4181
Mailing address
131 Old Road to 9 Acre Cor
Suite 570
Concord, MA 01742-4181
Phone (978) 371-7176
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031521 | Other | MA | NEIGHBORHOOD HEALTH CARE |
| M18334 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 59676 | Other | MA | FALLON |
Other names
- Andrea J. Fribush
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.