Richard Joseph Fraziero
Oral and Maxillofacial Surgeon
382 North Main Street Suite 202
East Longmeadow
, Massachusetts 01028
Richard Joseph Fraziero
Oral and Maxillofacial Surgeon
382 North Main Street Suite 202
East Longmeadow
, Massachusetts 01028
(413) 525-8608
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Richard Joseph Fraziero
- 382 North Main Street Suite 202
- East Longmeadow, MA
- Zip : 01028
- Fax : (413) 525-8608
- Phone : (413) 525-0100
Second Address
- Richard Joseph Fraziero
- 382 North Main Street Suite 202
- East Longmeadow, MA
- Zip : 01028
- Fax : (413) 525-8608
- Phone : (413) 525-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 016684 | MA |
National Provider Identifier
| NPI | 1053321190 |
|---|---|
| Provider Name | Richard Joseph Fraziero |
| First Address | East Longmeadow, MA 01028 |
| Second Address | East Longmeadow, MA 01028 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2244167 | (05) | MA |
| T91325 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.