Roger F Fazio, MD | |
46 Holley St, Suite 2, Wakefield, RI 02879-3325 | |
(401) 783-8008 | |
(401) 783-8156 |
Full Name | Roger F Fazio |
---|---|
Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 46 Holley St, Wakefield, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760448930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | MD11861 (Rhode Island) | Primary |
Entity Name | Silver Spring Health Care Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861561193 PECOS PAC ID: 4688661127 Enrollment ID: O20080124000678 |
Mailing Address | Practice Location Address |
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Roger F Fazio, MD 41 Millstone Rd, Wakefield, RI 02879-2488 Ph: () - | Roger F Fazio, MD 46 Holley St, Suite 2, Wakefield, RI 02879-3325 Ph: (401) 783-8008 |
David J Chronley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4979 Tower Hill Rd, Wakefield, RI 02879 Phone: 401-789-6492 Fax: 401-789-5524 | |
Heather A Dibiasio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46 Holley St, Suite 2, Wakefield, RI 02879 Phone: 401-783-8008 Fax: 401-783-8156 | |
Lauren C Noel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46 Holley St, Wakefield, RI 02879 Phone: 401-783-8008 Fax: 401-783-8156 | |
Deborah A. Spaight, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4979 Tower Hill Rd, Wakefield, RI 02879 Phone: 401-789-6492 Fax: 401-789-5524 |