Provider Demographics
NPI:1437360302
Name:FRANCIS H. FRECCERO, M.D.
Entity Type:Organization
Organization Name:FRANCIS H. FRECCERO, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-638-2510
Mailing Address - Street 1:77 BYRON AVE
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4201
Mailing Address - Country:US
Mailing Address - Phone:508-897-6145
Mailing Address - Fax:508-897-6141
Practice Address - Street 1:77 BYRON AVE
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4201
Practice Address - Country:US
Practice Address - Phone:508-897-6145
Practice Address - Fax:508-897-6141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0017646OtherNEIGHBORHOOD HEALTHPLAN
MA7039OtherHARVARD PILGRIM
MA708590OtherTUFTS
MA2161140OtherAETNA
MA2092662Medicaid
MAM19070OtherBLUE CROSS BLUE SHIELD
MA0101077OtherUNITED HEALTHCARE
MA080188311OtherRAILROAD MEDICARE
MA000000021223OtherBOSTON MEDICAL CENTER
MA080188311OtherRAILROAD MEDICARE
MAM19070OtherBLUE CROSS BLUE SHIELD