| Frank W Lafazia Inc | |
|
37 Washington St West Warwick RI 02893-4927 | |
| (401) 467-6210 | |
| (401) 821-8270 |
| Full Name | Frank W Lafazia Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 37 Washington St, West Warwick, Rhode Island |
| Authorized Official Name and Position | Frank W Lafazia (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 4014676210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank W Lafazia Inc 37 Washington St West Warwick RI 02893-4927 Ph: (401) 467-6210 | Frank W Lafazia Inc 37 Washington St West Warwick RI 02893-4927 Ph: (401) 467-6210 |
| NPI Number | 1952949489 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 09/18/2020 |
| Medicare PECOS PAC ID | 4981026820 |
|---|---|
| Medicare Enrollment ID | O20200622002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952949489 | NPI | - | NPPES |
| 1659377307 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank W La Fazia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659377307 PECOS PAC ID: 2264459551 Enrollment ID: I20051026000552 |
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