Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | C20008159 | DE |
N | 2080P0203X | Pediatric Critical Care Doctor | OS013841 | PA |
NPI | 1275666026 |
---|---|
Provider Name | Meg A Frizzola |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 16/09/2011 |