Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 288738 | MA |
N | 207RA0401X | Internist - Addiction Medicine | MD17080 | RI |
NPI | 1679991806 |
---|---|
Provider Name | Cecilia Crane Fix |
First Address | Fall River, MA 02720-6009 |
Second Address | Fall River, MA 02720-6009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2014 |
Last Update Date | 15/07/2021 |