Doctor Name: | DR. FREDERICK LOPEZ APIADO |
NPI Number: | 1225211097 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 046212 |
Business Practice Address: | 226 Mill Hill Ave 3rd Floor Bridgeport, CT - 066102826 |
Business Phone Number: | 2033843394 |
Business Fax Number: | 2033843829 |
Mailing Address: | Mill Hill Medical Consultants Inc, Po Box 415126 BOSTON |
State: | MA |
Postal Code: | 022410001 |
Phone Number: | 2033843975 |
Fax Number: | 2033843829 |
NPI Enumeration Date: | 12/14/2007 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 046212 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |