Provider Demographics
NPI:1811023591
Name:FREY-VOGEL, ARIEL SHANA (MD, MAT)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:SHANA
Last Name:FREY-VOGEL
Suffix:
Gender:F
Credentials:MD, MAT
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:SHANA
Other - Last Name:FREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MAT
Mailing Address - Street 1:19 NORWOOD ST.
Mailing Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL EVERETT FAMILY CARE
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149
Mailing Address - Country:US
Mailing Address - Phone:617-394-7500
Mailing Address - Fax:
Practice Address - Street 1:175 CAMBRIDGE ST., CPZS-592
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-7782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-224645207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine