Organization Name: | SMITHFIELD PRIMARY CARE LLC. |
NPI Number: | 1558775635 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK FRAIOLI (PRESIDENT) |
Mailing Address: | 41 Sanderson Rd Suite 206 Smithfield |
State: | RI US |
Postal Code: | 029172602 |
Phone Number: | 4013492203 |
Fax Number: | 4013492408 |
NPI Enumeration Date: | 06/17/2014 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |