Mary Shannon Fracchia
Pediatric Pulmonologist
Massachusetts General Hospital 55 Fruit Street
Boston
, Massachusetts 02114-2696
Mary Shannon Fracchia
Pediatric Pulmonologist
Massachusetts General Hospital 55 Fruit Street
Boston
, Massachusetts 02114-2696
(617) 724-8707
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Mary Shannon Fracchia
- Massachusetts General Hospital 55 Fruit Street
- Boston, MA
- Zip : 02114
- Phone : (617) 724-8707
Second Address
- Mary Shannon Fracchia
- Massachusetts General Hospital 55 Fruit Street
- Boston, MA
- Zip : 02114-2696
- Phone : (617) 724-3481
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | L-224326 | MA |
National Provider Identifier
| NPI | 1235265943 |
|---|---|
| Provider Name | Mary Shannon Fracchia |
| First Address | Boston, MA 02114 |
| Second Address | Boston, MA 02114-2696 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/02/2007 |
| Last Update Date | 29/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110079138/A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.