Provider Demographics
NPI:1861578239
Name:BRIGGIN, IRENE F (MD)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:F
Last Name:BRIGGIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:106 CRAFTS RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1826
Mailing Address - Country:US
Mailing Address - Phone:617-734-5617
Mailing Address - Fax:
Practice Address - Street 1:106 CRAFTS RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1826
Practice Address - Country:US
Practice Address - Phone:617-734-5617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA292722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAYO2460Medicare UPIN