Healthcare Provider Details

I. General information

NPI: 1790913887
Provider Name (Legal Business Name): GRETCHEN WILLIAMS FRIELING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GRETCHEN ELIZABETH WILLIAMS MD

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WALNUT ST STE 102
WELLESLEY HILLS MA
02481-2144
US

IV. Provider business mailing address

25 WALNUT ST STE 102
WELLESLEY HILLS MA
02481-2144
US

V. Phone/Fax

Practice location:
  • Phone: 781-524-3223
  • Fax:
Mailing address:
  • Phone: 781-524-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number254032
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number254032
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: