Richard Joseph Fraziero, DMD MD | |
382 North Main Street, Suite 202, East Longmeadow, MA 01028 | |
(413) 525-0100 | |
(413) 525-8608 |
Full Name | Richard Joseph Fraziero |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 382 North Main Street, East Longmeadow, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053321190 | NPI | - | NPPES |
2244167 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 016684 (Massachusetts) | Primary |
Entity Name | Facial Cosmetic & Maxillofacial Surgery P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417155276 PECOS PAC ID: 3072584853 Enrollment ID: O20040804001241 |
Mailing Address | Practice Location Address |
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Richard Joseph Fraziero, DMD MD 382 North Main Street, Suite 202, East Longmeadow, MA 01028 Ph: (413) 525-0100 | Richard Joseph Fraziero, DMD MD 382 North Main Street, Suite 202, East Longmeadow, MA 01028 Ph: (413) 525-0100 |
Dr. Malay T Parekh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 250 N Main St # A, East Longmeadow, MA 01028 Phone: 413-224-1493 | |
Dr. Boriana Canby, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 294 N Main St, East Longmeadow, MA 01028 Phone: 413-525-9500 | |
Dr. Amy G St.germain, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Pleasant St, East Longmeadow, MA 01028 Phone: 413-525-0955 Fax: 413-517-0003 | |
Dr. Vincent A Trimboli Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 52 N Main St, East Longmeadow, MA 01028 Phone: 413-537-0430 | |
Dr. Tomasz A Chrzan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Shaker Rd, East Longmeadow, MA 01028 Phone: 413-525-3000 Fax: 413-525-3004 | |
Dr. Jennifer Gavrillen Walsh, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 200 N Main St, Suite 1104, East Longmeadow, MA 01028 Phone: 413-525-6123 Fax: 413-525-8999 |