1538260351

Everything you always wanted to know about FRAIOLI MICHELINA but were afraid to ask.

FRAIOLI MICHELINA

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Provider Last Name Provider First Name
FRAIOLI MICHELINA
Gender:
Female
Enumeration date:
2006-09-26
Last update date:
2017-06-23
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
P23442 Medicare PIN none MA

Taxonomies

Taxonomy State License Number Primary?
1041C0700X Clinical MA 111960 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 5083343562
Mailing Address Fax Number 5084211000
Practice Location Address Fax Number 5084211000
Mailing Address Telephone Number (508) 334-3562

Addresses

Type Address City State Postal Country
Mailing Address 55 LAKE AVENUE NORTH UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY WORCESTER MA 1655 MA
Practice Location Address 55 LAKE AVENUE NORTH UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY WORCESTER MA 1655 MA

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