Provider Demographics
NPI:1770561235
Name:ARRIGG, FRED G JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRED
Middle Name:G
Last Name:ARRIGG
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:439 S UNION ST
Mailing Address - Street 2:HERITAGE PLACE #1,101
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-2800
Mailing Address - Country:US
Mailing Address - Phone:978-686-2983
Mailing Address - Fax:978-686-0684
Practice Address - Street 1:439 S UNION ST
Practice Address - Street 2:HERITAGE PLACE #1,101
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2800
Practice Address - Country:US
Practice Address - Phone:978-686-2983
Practice Address - Fax:978-686-0684
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA51671174400000X, 207YX0901X
MA15671207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6182445Medicaid
MAJ03637OtherBLUE CROSS BLUE SHIELD
MAJ03637Medicare PIN
MAA57089Medicare UPIN
MAM14153Medicare PIN