Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 34002564 | OH |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 34-002564 | OH |
NPI | 1023023694 |
---|---|
Provider Name | Ann Difrangia |
First Address | Cuyahoga Falls, OH 44221-3362 |
Second Address | Cuyahoga Falls, OH 44221-3362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 13/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0349797 | (05) | OH |
1841239274 | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # (01) | OH |
2551671 | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # (01) | OH |
9338635 | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # (01) | OH |
D89748 | (02) |