Fabrizio, Michael Anthony
Fabrizio, Michael Anthony is an individual health care provider with primary practice located at 387 Columbus Avenue Ext , Pittsfield MA 01201-4909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fabrizio, Michael Anthony can be contacted via phone (413) 443-9629.Contact Information
Primary practice address
387 Columbus Avenue Ext
Pittsfield MA 01201-4909
Phone: (413) 443-9629
Fax: (413) 445-6523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43684 | Massachusetts |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 43684 | Massachusetts |
Profile Details
| NPI number | 1801874755 |
|---|---|
| LBN Legal business name | Fabrizio, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801874755 | NPPES |
| Massachusetts | MEDICAID | 9763805 |
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