Provider Demographics
NPI:1790913887
Name:FRIELING, GRETCHEN WILLIAMS (MD)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:WILLIAMS
Last Name:FRIELING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:ELIZABETH
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:25 WALNUT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2144
Mailing Address - Country:US
Mailing Address - Phone:781-524-3223
Mailing Address - Fax:
Practice Address - Street 1:25 WALNUT ST STE 102
Practice Address - Street 2:
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-2144
Practice Address - Country:US
Practice Address - Phone:781-524-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA254032207ZD0900X, 207ZP0102X
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program