Doctor Name: | DR. FABRIZIO PLUCHINO |
NPI Number: | 1053707174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D PHD |
License Number: | 185564 |
Business Practice Address: | 103 Craiwell Ave West Springfield, MA - 010892915 |
Business Phone Number: | 6174158429 |
Business Fax Number: | |
Mailing Address: | 103 Craiwell Ave, WEST SPRINGFIELD |
State: | MA |
Postal Code: | 010892915 |
Phone Number: | 6174158429 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2015 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SM0705X |
License Number: | 185564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |