| Roger F Fazio, MD | |
|
49 S County Commons Way Unit F5, Wakefield, RI 02879-8200 | |
| (401) 783-8008 | |
| (401) 783-8156 |
| Full Name | Roger F Fazio |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 49 S County Commons Way Unit F5, Wakefield, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760448930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | MD11861 (Rhode Island) | Primary |
| Entity Name | Silver Spring Health Care Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861561193 PECOS PAC ID: 4688661127 Enrollment ID: O20080124000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger F Fazio, MD 49 S County Commons Way Unit F5, Wakefield, RI 02879-8200 Ph: (401) 783-8008 | Roger F Fazio, MD 49 S County Commons Way Unit F5, Wakefield, RI 02879-8200 Ph: (401) 783-8008 |
David J Chronley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4979 Tower Hill Rd, Wakefield, RI 02879 Phone: 401-789-6492 Fax: 401-789-5524 | |
Dr. Abram Collard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 River St, Wakefield, RI 02879 Phone: 401-767-4100 | |
Heather A Dibiasio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46 Holley St, Suite 2, Wakefield, RI 02879 Phone: 401-783-8008 Fax: 401-783-8156 | |
Lauren C Noel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49 S County Commons Way Unit F5, Wakefield, RI 02879 Phone: 401-783-8008 Fax: 401-783-8156 | |
Deborah A. Spaight, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4979 Tower Hill Rd, Wakefield, RI 02879 Phone: 401-789-6492 Fax: 401-789-5524 |