| D A Fraggetta Llc | |
|
100 Cummings Ctr Ste 432a Beverly MA 01915-6122 | |
| (978) 430-4057 | |
| Not Available |
| Full Name | D A Fraggetta Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 Cummings Ctr Ste 432a, Beverly, Massachusetts |
| Authorized Official Name and Position | Dorothy A Fraggetta (MANAGER) |
| Authorized Official Contact | 9784304057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D A Fraggetta Llc 78r Beaver St Unit 3 Salem MA 01970-1426 Ph: (978) 430-4057 | D A Fraggetta Llc 100 Cummings Ctr Ste 432a Beverly MA 01915-6122 Ph: (978) 430-4057 |
| NPI Number | 1467277509 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 01/12/2025 |
| Certification Date | 01/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467277509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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